Individual provider Active NPI

Janet Flynn, NP

  • Family Nurse Practitioner
  • Gladwin, MI
National Provider Identifier
1710063755
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704126534 Issued in MI
Practice address
1207 N Spring St
Gladwin, MI 48624
Phone
(989) 426-5590
NPI assigned
Oct 31, 2006
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704126534 MI
Family Nurse Practitioner 363LF0000X 4704126534 MI Primary

Addresses

Primary practice location

1207 N Spring St
Gladwin, MI 48624

Mailing address

801 Joe Mann Blvd Ste P-6
Midland, MI 48642-8900
Phone (989) 791-2455

Other identifiers 1

IdentifierTypeStateIssuer
4458397MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040108001112 MI Practitioner - Nurse Practitioner 5395645212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spring Street Family PracticeGroup PAC ID 2961471594, 4 clinicians

Practice addresses (Care Compare)

1207 N Spring St
Gladwin, MI 48624-1040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Street Family Practice CurrentSince Dec 1, 2002 Accepting new patients

Locations

1207 N Spring St
Gladwin, MI 48624
Phone (989) 426-5553

204 W Buttles St
Midland, MI 48640

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

3061 Christy Way
Saginaw, MI 48603
Phone (630) 788-1425

3785 Bay Rd
Saginaw, MI 48603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1710063755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE P-6",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428900",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N SPRING ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "48624",
            "telephone_number": "989-426-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JANET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704126534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704126534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4458397",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwin, MI

Sources for this page

Verify at the official NPI Registry.