Lori Ann Tetu, MSN, RN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704177116 Issued in MI

Practice address

117 S Burgess St
West Branch, MI 48661-1403

Phone

(989) 343-1367

Fax

(989) 343-1427

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Phototherapy Management Facility LLCGroup PAC ID 4880644251, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Northern Phototherapy Management Facility LLC

  • Internal Medicine Physician
  • West Branch, MI
  • NPI 1831251982
  Medicare reassignment Care Compare group NPD
• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Sterling, MI
  • NPI 1477538239
  Medicare reassignment NPD
• Midmichigan Health Services

  • Federally Qualified Health Center (FQHC)
  • Houghton Lake, MI
  • NPI 1912998287
  Medicare reassignment
• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • West Branch, MI
  • NPI 1588559421
  NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1639710890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611403",
            "telephone_number": "989-343-1367",
            "fax_number": "989-343-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611403",
            "telephone_number": "989-343-1367",
            "fax_number": "989-343-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETU",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704177116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page Kristine Szostak, CHW
• James Tambs, D.O.
• James Tambs
• Julia Templeton
• David J Ternes, DO
• Thomas E. Westerfield O.D. P.C.
• Linda Loou Thopmson, RN BSN
• Thunder Bay Community Health Service, Inc
• Courtney Tolfree
• Thomas E Tomczak Jr., MD

• Nurse Practitioner in West Branch, MI
• Providers in West Branch, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.

Verify at the official NPI Registry.