Individual provider Active NPI

Rhonda Lynn Hackett, FNP-BC

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1619212156
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704242724 Issued in MI
Practice address
700 Cooper Ave Ste 1100
Saginaw, MI 48602-5383
Phone
(989) 583-2720
Fax
(989) 583-1888
NPI assigned
Dec 11, 2012
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704242724 MI Primary
Family Nurse Practitioner 363LF0000X 4704242724 MI

Addresses

Primary practice location

700 Cooper Ave Ste 1100
Saginaw, MI 48602-5383

Mailing address

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-7135

Other names 1

  • Rhonda Lynn Pobanz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpobanz33531@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
I20130208000454 MI Practitioner - Nurse Practitioner 0941454417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 Cooper Ave
Suite 1100
Saginaw, MI 48602-5383
Phone (989) 583-6386

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704242724MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Free Bed Rehabilitation Hospital CurrentSince Oct 28, 2023 Accepting new patients
Saginaw Cooperative Hospitals, Inc Nurse Practitioner CurrentSince Apr 13, 2015 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Apr 13, 2015 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 22, 2021 Accepting new patients
Mary Free Bed Rehabilitation Hospital CurrentSince Oct 28, 2023 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

700 Cooper Ave
Ste 1100
Saginaw, MI 48602
Phone (989) 583-2720

800 Cooper Ave
Ste 8
Saginaw, MI 48602
Phone (517) 752-1177

912 S Washington Ave
Ste 1
Saginaw, MI 48601
Phone (989) 746-7857

Interoperability endpoints

  • Direct secure messaging: rpobanz33531@direct.covenanthealthcare.com

Organizations & group practices 6

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 1

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1619212156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035247",
            "telephone_number": "616-840-7135",
            "fax_number": "616-840-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COOPER AVE STE 1100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025383",
            "telephone_number": "989-583-2720",
            "fax_number": "989-583-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704242724",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704242724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpobanz33531@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "700 Cooper Ave Ste 1100",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "POBANZ",
            "middle_name": "LYNN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.