Individual provider Active NPI

Marie Havercamp, FNP-C

  • Family Nurse Practitioner
  • Cass City, MI
National Provider Identifier
1609240316
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704273419 Issued in MI
Practice address
6190 Hospital Dr
Cass City, MI 48726-1072
Phone
(989) 872-8303
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704273419 MI Primary

Addresses

Primary practice location

6190 Hospital Dr
Cass City, MI 48726-1072

Mailing address

6190 Hospital Dr
Cass City, MI 48726-1072
Phone (989) 872-8303

Other practice location 1

1048 E Caro Rd
Caro, MI 48723-1204
Phone (989) 912-6532

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhavercamp43371@direct.covenanthealthcare.com

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
I20160420001498 MI Practitioner - Nurse Practitioner 2365740669 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4672 Hill St
Suite 4
Cass City, MI 48726-1028
Phone (989) 872-5582

6190 Hospital Dr
Cass City, MI 48726-1072

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. CurrentSince Mar 15, 2016 Accepting new patients
Deckerville Community Hospital, Inc CurrentSince May 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Deckerville Community Hospital Inc CurrentSince May 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc. Current Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Mar 15, 2016 Accepting new patients
Marlette Regional Hospital Current Accepting new patients
Marlette Regional Hospital Past Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

684 N Port Crescent St
Bad Axe, MI 48413
Phone (989) 912-6575

1048 E Caro Rd
Ste B
Caro, MI 48723
Phone (989) 912-6532

1048 E Caro Rd
Caro, MI 48723
Phone (989) 672-1399

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

6190 Hospital Dr
Ste 106
Cass City, MI 48726
Phone (989) 872-5010

4672 Hill St
Ste 106
Cass City, MI 48726

6190 Hospital Dr
Cass City, MI 48726
Phone (989) 872-8303

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/i-zcCbJ35X2O5bJkqEF8dvUIAeQf3o9y/

Organizations & group practices 9

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1609240316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 E Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231204",
            "country_code": "US",
            "telephone_number": "989-912-6532",
            "fax_number": "989-912-6014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVERCAMP",
        "first_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704273419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhavercamp43371@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "6190 Hospital Dr",
            "city": "Cass City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487261072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.