Danette Lynn Martyn, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Newberry, MI
NPI 1639736945 · NPPES record last updated Jun 6, 2021
Key facts
- NPI
- 1639736945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704205351 (MI)
- Practice address
- 7913 County Road 385
Newberry, MI 49868-7508 - Phone
- (906) 322-1806
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 23
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLaren Central Michigan
Practice addresses (Care Compare)
1890 US Hwy 131
Unit 4
Petoskey, MI 49770-8344
Phone (231) 487-2000
Hospital & facility affiliations
- McLaren Central Michigan
- McLaren Northern Michigan
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230430000021 | MI | Practitioner - Nurse Practitioner | 0446615207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704205351 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Single Specialty | Current |
Accepting new patients |
| McLaren Central Michigan | Single Specialty | Current | Accepting new patients |
| McLaren Central Michigan | Current |
Accepting new patients | |
| McLaren Central Michigan | Past | Accepting new patients |
Locations
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
1890 US Highway 131
Unit 4
Petoskey, MI 49770
Phone (231) 348-2828
Interoperability endpoints
- danette.martyn@115443077021700.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 4704205351 | MI | Yes |
Addresses
Primary practice location
7913 County Road 385
Newberry, MI 49868-7508
Mailing address
7913 County Road 385
Newberry, MI 49868-7508
Phone (906) 293-1981
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639736945 | Other | MI | NPI |
Other providers in Newberry, MI
- Luce-Mackinac Health Department
- M K Stores Inc
- M.K. Stores, Inc
- Elizabeth Magyar
- Latasha Martin
- Stephanie Jo Metzler
- Cathy Ann Murphy
- Dale W Muth
- Daniel Netherton
- Hilary S Newby
All providers in Newberry, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.