Individual provider Active NPI

Meredith Caudill, FNP-C

  • Nurse Practitioner
  • Ironwood, MI
National Provider Identifier
1609461789
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704239677 Issued in MI
Practice address
N10565 Grandview LN
Ironwood, MI 49938-9622
Phone
(906) 932-1500
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704239677 MI Primary

Addresses

Primary practice location

N10565 Grandview LN
Ironwood, MI 49938-9622

Mailing address

7 Stratford St
Montreal, WI 54550-9705
Phone (906) 231-7217

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
I20210503000504 MI Practitioner - Nurse Practitioner 9638588775 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians

Practice addresses (Care Compare)

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Aspirus Palliative Medicine Michi
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704239677MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Apr 22, 2021 Accepting new patients
Aspirus Keweenaw CurrentSince Apr 22, 2021 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Apr 22, 2021 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Apr 22, 2021 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 29, 2021 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 29, 2021 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000

Interoperability endpoints

  • Direct secure messaging: mcaudill161660@direct.aspirus.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1609461789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STRATFORD ST",
            "city": "MONTREAL",
            "state": "WI",
            "postal_code": "545509705",
            "telephone_number": "906-231-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10565 GRANDVIEW LN",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "MEREDITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704239677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironwood, MI

Sources for this page

Verify at the official NPI Registry.