Deanna Marie Engelhart, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704304304 Issued in MI

Practice address

1 Hiland Dr
Petoskey, MI 49770-2483

Phone

(586) 850-9668

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• McLaren Health Management Group

  • Pain Medicine Physician
  • Port Huron, MI
  • NPI 1912072349
  Medicare reassignment

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1649829680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 WALLOON CT",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497128828",
            "telephone_number": "586-850-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HILAND DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702483",
            "telephone_number": "586-850-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHART",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704304304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy-Lynn Ruth Ellenberger, LMT
• Monica Lorraine Elliott
• David Alan Ellsworth, DDS
• Walter Emling, RPH
• Margaret-Anne Endlein, DPT, ATC
• Max Harris Engelman, OD
• Katelyn Engler
• Daniel Paul Engstrom, RPH
• Brenda Marie Ennis, MSW; DCSW
• Eric J Mancini MD, PC

• Family Nurse Practitioner in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.