Individual provider Active NPI

Linda M Opsahl, FNP

  • Family Nurse Practitioner
  • Kingsford, MI
National Provider Identifier
1689603839
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704113267 Issued in MI
Practice address
800 East Blvd
Kingsford, MI 49802
Phone
(906) 774-4000
Fax
(906) 774-0088
NPI assigned
Jul 1, 2006
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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 4704113267 MI Primary

Addresses

Primary practice location

800 East Blvd
Kingsford, MI 49802

Mailing address

800 East Blvd
Kingsford, MI 49802-4436
Phone (906) 774-4000

Other practice location 1

844 Pyle Dr
Kingsford, MI 49802-4455
Phone (906) 774-6383

Other identifiers 7

IdentifierTypeStateIssuer
1026368OtherMIPREFERRED ONE
500024567OtherMIRR MEDICARE
4223499MedicaidMI
5008764350OtherMIBCBS MI
4223505MedicaidMI
43923100MedicaidWI
4441667MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1689603839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024436",
            "telephone_number": "906-774-4000",
            "fax_number": "906-774-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "49802",
            "telephone_number": "906-774-4000",
            "fax_number": "906-774-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 Pyle Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsford",
            "state": "MI",
            "postal_code": "498024455",
            "country_code": "US",
            "telephone_number": "906-774-6383",
            "fax_number": "906-774-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPSAHL",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704113267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1026368",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500024567",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4223499",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "5008764350",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4223505",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43923100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4441667",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsford, MI

Sources for this page

Verify at the official NPI Registry.