Individual provider Active NPI

Valdetta Jean Perrine, CNP

  • Urgent Care Clinic/Center
  • Adrian, MI
National Provider Identifier
1619677101
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Practice address
905 N Main St Ste 2
Adrian, MI 49221-2168
Phone
(517) 295-1066
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 025609 OH
Family Nurse Practitioner 363LF0000X 4704209716 MI
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

905 N Main St Ste 2
Adrian, MI 49221-2168

Mailing address

905 N Main St Ste 2
Adrian, MI 49221-2168
Phone (517) 295-1066

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
I20230315002804 MI Practitioner - Nurse Practitioner 3476927369 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main St Urgent Care Clinic and Walk in Clinic PCGroup PAC ID 7618376179, 2 clinicians

Practice addresses (Care Compare)

905 N Main St
Adrian, MI 49221-2173
Phone (313) 948-3055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025609OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Battle Creek Urgent Care Walk in Clinic PC Urgent Care CurrentSince Mar 7, 2023 Accepting new patients
Lambertville Urgent Care Walk in Clinic Urgent Care CurrentSince Mar 7, 2023 Accepting new patients
MD Urgent Care Ann Arbor PC Urgent Care CurrentSince Mar 7, 2023 Accepting new patients
Tecumseh Urgent Care and Walk-in Clinic PC Urgent Care CurrentSince Mar 7, 2023 Accepting new patients
Main St Urgent Care Clinic and Walk in Clinic PC Urgent Care CurrentSince Mar 7, 2023 Accepting new patients
Chelsea Urgent Care Walk-in Clinic PC Urgent Care CurrentSince Mar 7, 2023 Accepting new patients
Plainwell Urgent Care Walk-in Clinic PC Urgent Care CurrentSince Mar 7, 2023 Accepting new patients

Locations

905 N Main St
Ste 2
Adrian, MI 49221
Phone (517) 295-1066

905 N Main St
Adrian, MI 49221
Phone (517) 263-7300

310 S Maple Rd
Ann Arbor, MI 48103
Phone (734) 720-6161

2515 Capital Ave SW
Battle Creek, MI 49015
Phone (734) 720-6161

1301 S Main St
Chelsea, MI 48118
Phone (517) 577-6418

3299 Sterns Rd
Lambertville, MI 48144
Phone (734) 720-6161

1221 M 89
Ste 200
Plainwell, MI 49080
Phone (517) 662-3144

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

501 E Chicago Blvd
Tecumseh, MI 49286
Phone (517) 662-3144

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1619677101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST STE 2",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212168",
            "telephone_number": "517-295-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST STE 2",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212168",
            "telephone_number": "517-295-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "VALDETTA",
        "middle_name": "JEAN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "025609",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704209716",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.