NPIMap

Individual provider Active NPI

Sara Dawn Thueme, FNP-C

  • Family Nurse Practitioner
  • Port Huron, MI
National Provider Identifier
1649885872
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09200306 Issued in MI
Practice address
1231 Pine Grove Ave Ste 2a
Port Huron, MI 48060-3500
Phone
(810) 982-8742
Fax
(810) 984-8291
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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 F09200306 MI Primary

Addresses

Primary practice location

1231 Pine Grove Ave Ste 2a
Port Huron, MI 48060-3500

Mailing address

PO Box 85
Marysville, MI 48040-0085
Phone (810) 982-8742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907002251 MI Practitioner - Nurse Practitioner 5193121770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Healthcare Network PCGroup PAC ID 3476456252, 30 clinicians

Practice addresses (Care Compare)

1231 Pine Grove Ave
Suite 2a
Port Huron, MI 48060-3500
Phone (810) 982-8742

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09200306MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Healthcare Network, PC Family CurrentSince Aug 24, 2021 Accepting new patients

Locations

3350 Gratiot Blvd
Marysville, MI 48040
Phone (810) 364-4000

1231 Pine Grove Ave
Ste 2A
Port Huron, MI 48060
Phone (810) 982-8742

Interoperability endpoints

  • Direct secure messaging: sara.thueme.1@11357.direct.athenahealth.com
  • Direct secure messaging: sthueme705078@direct.hfhs.org

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1649885872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480400085",
            "telephone_number": "810-982-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 PINE GROVE AVE STE 2A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603500",
            "telephone_number": "810-982-8742",
            "fax_number": "810-984-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUEME",
        "first_name": "SARA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F09200306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.