Active NPI
Linda M Opsahl, FNP
- Family Nurse Practitioner
- Kingsford, MI
National Provider Identifier
1689603839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704113267
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026368 | Other | MI | PREFERRED ONE |
| 500024567 | Other | MI | RR MEDICARE |
| 4223499 | Medicaid | MI | |
| 5008764350 | Other | MI | BCBS MI |
| 4223505 | Medicaid | MI | |
| 43923100 | Medicaid | WI | |
| 4441667 | Medicaid | MI |
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.