Active NPI
Juston N Mansfield, NP-C
- Family Nurse Practitioner
- Ferndale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704283237NSA18453
- Practice address
- 10300 W 8 Mile Rd
Ferndale, MI 48220-2100 - Phone
- (248) 398-3200
- Fax
- (248) 398-3200
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704283237NSA18453 | MI | Primary |
Addresses
Primary practice location
10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Mailing address
1546 Pearson St
Ferndale, MI 48220-1648
Phone (248) 721-7388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL, IA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1546 Pearson St
Ferndale, MI 48220-1648
424 Church St
Nashville, TN 37219-2301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704283237NSA18453 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
1223 S Washington Ave
Royal Oak, MI 48067
Phone (248) 395-0080
28477 Hoover Rd
Warren, MI 48093
Phone (586) 250-4040
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Interoperability endpoints
- juston.manfield.1@19270.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1639675473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 PEARSON ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201648",
"telephone_number": "248-721-7388",
"fax_number": "313-543-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 W 8 MILE RD",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202100",
"telephone_number": "248-398-3200",
"fax_number": "248-398-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "JUSTON",
"middle_name": "N",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704283237NSA18453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.