Individual provider Active NPI

Benjamin D Fritzler, FNP-C

  • Family Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1720730617
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704268203 Issued in MI
Practice address
3900 State Street Rd Ste 110
Bay City, MI 48706-2164
Phone
(989) 391-4032
NPI assigned
Jan 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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 4704268203 MI
Family Nurse Practitioner 363LF0000X 4704268203 MI Primary

Addresses

Primary practice location

3900 State Street Rd Ste 110
Bay City, MI 48706-2164

Mailing address

3900 State Street Rd Ste 110
Bay City, MI 48706-2164
Phone (989) 391-4032

Other practice location 1

900 Cooper Ave
Saginaw, MI 48602-5182
Phone (989) 583-6521

Other names 1

  • Benjamin David Fritzler Professional name

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
I20241001001202 MI Order and Referring Only - Nurse Practitioner 6002347143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704268203MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MD Urgent Care Bay City Walk in PC CurrentSince Mar 17, 2024 Accepting new patients

Locations

3900 State Street Rd
Ste 110
Bay City, MI 48706
Phone (734) 658-2956

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1720730617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 STATE STREET RD STE 110",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062164",
            "telephone_number": "989-391-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 STATE STREET RD STE 110",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062164",
            "telephone_number": "989-391-4032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Cooper Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025182",
            "country_code": "US",
            "telephone_number": "989-583-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRITZLER",
        "first_name": "BENJAMIN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704268203",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704268203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "FRITZLER",
            "middle_name": "DAVID",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.