Individual provider Active NPI

Janette C. Guertin, ACNP-BC

  • Acute Care Nurse Practitioner
  • Port Huron, MI
National Provider Identifier
1619361870
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704177418 Issued in MI
Practice address
1201 Stone St
Port Huron, MI 48060-3563
Phone
(810) 989-0000
NPI assigned
Mar 26, 2015
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704177418 MI Primary

Addresses

Primary practice location

1201 Stone St
Port Huron, MI 48060-3563

Mailing address

48296 Sherringham Dr
Macomb, MI 48044-6507
Phone (586) 871-4036

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
I20160120002310 MI Practitioner - Nurse Practitioner 4486957701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marwan Shuayto MD PC CurrentSince Dec 1, 2015 Accepting new patients
McLaren Port Huron Past Accepting new patients

Locations

1201 Stone St
Ste 8
Port Huron, MI 48060
Phone (810) 985-4411

615 Pine St
Port Huron, MI 48060
Phone (810) 989-0000

Interoperability endpoints

  • Direct secure messaging: jguertin@michneuroandspine.ssdirect.aprima.com

Organizations & group practices 2

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1619361870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48296 SHERRINGHAM DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446507",
            "telephone_number": "586-871-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 STONE ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603563",
            "telephone_number": "810-989-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERTIN",
        "first_name": "JANETTE",
        "middle_name": "C.",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704177418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.