Individual provider Active NPI

Joseph C Ojibway, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Shepherd, MI
National Provider Identifier
1609205533
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704370738 Issued in MI
Practice address
7572 S Shepherd Rd
Shepherd, MI 48883-9034
Phone
(802) 299-9549
NPI assigned
Nov 1, 2013
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18090 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704370738 MI Primary

Addresses

Primary practice location

7572 S Shepherd Rd
Shepherd, MI 48883-9034

Mailing address

7572 S Shepherd Rd
Shepherd, MI 48883-9034
Phone (802) 299-9549

Other practice location 1

2637 Murfreesboro Pike
Nashville, TN 37217-3505
Phone (615) 250-1475

Other practice location 2

2300 N Stallman Rd # 2
Suttons Bay, MI 49682-9158
Phone (231) 534-7091

Other identifiers 1

IdentifierTypeStateIssuer
1533407MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220114000539 MI Practitioner - Nurse Practitioner 1355570300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keweenaw Bay Indian CommunityGroup PAC ID 7315070471, 11 clinicians

Practice addresses (Care Compare)

102 S Superior Ave
Baraga, MI 49908-9673
Phone (906) 353-6623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 3, 2024 Accepting new patients
Theoria Medical CurrentSince May 5, 2024 Accepting new patients
Keweenaw Bay Indian Community Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200

Interoperability endpoints

  • Direct secure messaging: jojibway@sagchip.directbygreenway.com
  • Direct secure messaging: josephojibway@uchsi.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1609205533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7572 S SHEPHERD RD",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488839034",
            "telephone_number": "802-299-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7572 S SHEPHERD RD",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488839034",
            "telephone_number": "802-299-9549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173505",
            "country_code": "US",
            "telephone_number": "615-250-1475",
            "fax_number": "615-964-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N Stallman Rd # 2",
            "address_purpose": "LOCATION",
            "city": "Suttons Bay",
            "state": "MI",
            "postal_code": "496829158",
            "country_code": "US",
            "telephone_number": "231-534-7091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJIBWAY",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18090",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704370738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533407",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherd, MI

Sources for this page

Verify at the official NPI Registry.