Active NPI
Patricia Suzanne Harner, N.P.
- Family Nurse Practitioner
- Fenton, MI
National Provider Identifier
1649481805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704144818
- Practice address
- PO Box 310
Fenton, MI 48430-0310 - Phone
- (719) 641-8950
- NPI assigned
- May 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704144818 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704144818 | MI | Primary |
Addresses
Primary practice location
PO Box 310
Fenton, MI 48430-0310
Mailing address
PO Box 310
Fenton, MI 48430-0310
Phone (719) 641-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08285845 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704144818 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Orthopaedic Center, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Traverse City, MI
- NPI 1952323453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1649481805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "FENTON",
"state": "MI",
"postal_code": "484300310",
"telephone_number": "719-641-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "FENTON",
"state": "MI",
"postal_code": "484300310",
"telephone_number": "719-641-8950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNER",
"first_name": "PATRICIA",
"middle_name": "SUZANNE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-26",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704144818",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704144818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08285845",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.