Active NPI
Joseph C Ojibway, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Shepherd, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704370738
- Practice address
- 7572 S Shepherd Rd
Shepherd, MI 48883-9034 - Phone
- (802) 299-9549
- NPI assigned
- Nov 1, 2013
- Last updated
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1533407 | Medicaid | TN |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Theoria Medical | Current | 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
- jojibway@sagchip.directbygreenway.com
- 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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
MI, Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Baraga, MI
- NPI 1336232289
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.