Katie L Mysen, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704239808 Issued in MI

Practice address

605 S Lapeer Rd Ste D
Oxford, MI 48371-6509

Phone

(248) 274-6066

Fax

(248) 278-4876

NPI assigned

Aug 20, 2010

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobicare LLCGroup PAC ID 4284984667, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.mysen@kmdaa-mi.direct.office.nextgen.com

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.

• Mobicare, LLC

  dba Katie Mysen, DNP and Associates

  • Family Nurse Practitioner
  • Oxford, MI
  • NPI 1750876173
  Medicare reassignment Care Compare group NPD Authorized official
• Valley Area Agency on Aging

  • Case Management Agency
  • Flint, MI
  • NPI 1265444897
  Medicare reassignment NPD
• Cardinal Hospice South, LLC

  dba Transitions Hospice

  • Community Based Hospice Care Agency
  • Oxford, MI
  • NPI 1053786244
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1699081281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S LAPEER RD STE D",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716509",
            "telephone_number": "248-274-6066",
            "fax_number": "248-278-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S LAPEER RD STE D",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716509",
            "telephone_number": "248-274-6066",
            "fax_number": "248-278-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSEN",
        "first_name": "KATIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699081281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sabrina N Mueller
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• Wendy Nielubowicz, O.D.
• Courtney Nikolaas, LLC
• Anisha Noel

• Family Nurse Practitioner in Oxford, MI
• Providers in Oxford, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.