NPIMap

Individual provider Active NPI

John Wilkins, DO

  • Family Medicine Physician
  • West Branch, MI
National Provider Identifier
1689082539
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021453 Issued in MI
Practice address
611 Court St
West Branch, MI 48661-8820
Phone
(989) 345-7000
Fax
(989) 345-7479
NPI assigned
Jul 23, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101021453 MI Primary

Addresses

Primary practice location

611 Court St
West Branch, MI 48661-8820

Mailing address

611 Court St
West Branch, MI 48661-8820
Phone (989) 345-7000

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
I20170626000120 MI Practitioner - Family Practice 1850669300 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians
Northern Phototherapy Management Facility LLCGroup PAC ID 4880644251, 2 clinicians

Practice addresses (Care Compare)

2110 S M
76 Suite 6
West Branch, MI 48661-8821
Phone (989) 345-1184

511 W Houghton Ave
West Branch, MI 48661-1225
Phone (989) 343-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101021453MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Family Medicine Current Accepting new patients
McLaren Central Michigan Current Accepting new patients
Vedha Health Services PLLC Family Medicine CurrentSince Aug 7, 2024 Accepting new patients
Vpa PC Family Medicine CurrentSince Apr 1, 1994 Accepting new patients
Theoria Medical CurrentSince Aug 30, 2021 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Nov 6, 2023 Accepting new patients
Mackinac Straits Health System Inc Family Medicine CurrentSince Nov 6, 2023 Accepting new patients
Vpa PC Family Medicine CurrentSince Apr 1, 1994 Accepting new patients
Northern Phototherapy Management Facility LLC CurrentSince Aug 10, 2025 Accepting new patients
West Branch Opco, LLC Past Accepting new patients
Atrium Gladwin LLC Past Accepting new patients
McLaren Central Michigan Past Accepting new patients
Woodland Health Care Services PC Past Accepting new patients
Rose City Opco, LLC Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Ausable Valley Continuing Care Retirement Community, Inc. Past Accepting new patients
Mission Point of Roscommon LLC Past Accepting new patients
Lakeview Manor Acquisition Company, Inc. Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

1390 Maple Dr
Fairview, MI 48621
Phone (989) 848-0827

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

418 N Main St
Ste 200
Royal Oak, MI 48067
Phone (248) 200-9240

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

400 North St W
Tawas City, MI 48763
Phone (989) 362-8645

408 N 5th Ave
Tawas City, MI 48763
Phone (989) 362-2211

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

511 W Houghton Ave
West Branch, MI 48661
Phone (989) 343-1000

Interoperability endpoints

  • Direct secure messaging: jwilkins128298@mymichiganhealth.midirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus-Bay CitySaginaw, MI, CCN 231596 Hospice Contracted Managing Employee Jun 5, 2019
Compassus - Northern MichiganWest Branch, MI, CCN 231600 Hospice Contracted Managing Employee Dec 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689082539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618820",
            "telephone_number": "989-345-7000",
            "fax_number": "989-345-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486618820",
            "telephone_number": "989-345-7000",
            "fax_number": "989-345-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.