Individual provider Active NPI

Jorie Reder, FNP-C

  • Family Nurse Practitioner
  • West Branch, MI
National Provider Identifier
1639959448
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704306204 Issued in MI
Practice address
335 E Houghton Ave
West Branch, MI 48661-1127
Phone
(989) 345-8130
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704306204 MI Primary

Addresses

Primary practice location

335 E Houghton Ave
West Branch, MI 48661-1127

Mailing address

335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 345-8130

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
I20231120002072 MI Practitioner - Nurse Practitioner 0143678722 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 345-8130

602 Beech St
Suite 1100
Clare, MI 48617-1476
Phone (989) 386-9911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704306204MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Dec 1, 2023 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Dec 1, 2023 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Dec 1, 2023 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Dec 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Dec 1, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Dec 1, 2023 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Dec 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Dec 1, 2023 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

393 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-4406

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

5694 Midland Rd
Freeland, MI 48623
Phone (989) 695-2123

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6201

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

335 E Houghton Ave
West Branch, MI 48661
Phone (989) 343-3154

Interoperability endpoints

  • Direct secure messaging: jreder57038@mymichiganhealth.midirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1639959448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-345-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-345-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDER",
        "first_name": "JORIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704306204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.