Active NPI
Michele Ann Bjorn, ARNP
- Nurse Practitioner
- Clarinda, IA
National Provider Identifier
1679619795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A092312
- Practice address
- 220 Essie Davison Dr
Clarinda, IA 51632-2915 - Phone
- (712) 542-8330
- Fax
- (712) 542-3373
- NPI assigned
- Jan 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A092312 | IA | Primary |
Addresses
Primary practice location
220 Essie Davison Dr
Clarinda, IA 51632-2915
Mailing address
PO Box 217
Clarinda, IA 51632-2625
Phone (712) 542-2176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679619795 | Medicaid | IA |
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 |
|---|---|---|---|
| A092312 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Hospital | 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.
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1679619795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322625",
"telephone_number": "712-542-2176",
"fax_number": "712-542-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ESSIE DAVISON DR",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322915",
"telephone_number": "712-542-8330",
"fax_number": "712-542-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORN",
"first_name": "MICHELE",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A092312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679619795",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarinda, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.