Individual provider Active NPI

Julimarie Dagen, N.P.

  • Nurse Practitioner
  • Muskegon, MI
National Provider Identifier
1720135627
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704105570 Issued in MI
Practice address
1250 Mercy Dr Ste 101
Muskegon, MI 49444-1881
Phone
(231) 733-1912
Fax
(231) 737-4603
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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 4704105570 MI
Nurse Practitioner 363L00000X 4704105570 MI Primary

Addresses

Primary practice location

1250 Mercy Dr Ste 101
Muskegon, MI 49444-1881

Mailing address

1250 Mercy Dr Ste 101
Muskegon, MI 49444-1881
Phone (231) 733-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704105570MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Specialists, PLC Nurse Practitioner Past Accepting new patients
West Michigan Nephrology PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1720135627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MERCY DR STE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441881",
            "telephone_number": "231-733-1912",
            "fax_number": "231-737-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MERCY DR STE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441881",
            "telephone_number": "231-733-1912",
            "fax_number": "231-737-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGEN",
        "first_name": "JULIMARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704105570",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704105570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.