Individual provider Active NPI

Catherine Vanbocxlaer

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1730691213
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704270324 Issued in MI
Practice address
1015 S Washington Ave
Saginaw, MI 48601
Phone
(989) 754-3000
Fax
(989) 754-3006
NPI assigned
Oct 24, 2017
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704270324 MI Primary

Addresses

Primary practice location

1015 S Washington Ave
Saginaw, MI 48601

Mailing address

PO Box 779
Tawas City, MI 48764-0779
Phone (989) 754-3000

Other practice location 1

6330 Belmont Pl
Saginaw, MI 48603-3450
Phone (989) 860-3559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherine.vanbocxlaer.1@11016.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180118000235 MI Practitioner - Nurse Practitioner 6002175197 Reassigns benefits to 1 organization
I20220920001406 MI Practitioner - Certified Clinical Nurse Specialist (CNS) 6002175197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

2660 W Sugnet Rd
Mymichigan Interventional Cardiolog
Midland, MI 48640-2647
Phone (989) 832-0900

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland Single Specialty CurrentSince Sep 14, 2022 Accepting new patients
Mymichigan Medical Center Midland Single Specialty CurrentSince Sep 14, 2022 Accepting new patients
Mymichigan Medical Center Saginaw Single Specialty Past Accepting new patients
Mymichigan Medical Center Saginaw Single Specialty Past Accepting new patients

Locations

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Interoperability endpoints

  • Direct secure messaging: catherine.vanbocxlaer.1@11016.direct.athenahealth.com
  • Direct secure messaging: cvanbocxlaer130538@mymichiganhealth.midirect.net

Organizations & group practices 4

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 3

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1730691213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-754-3000",
            "fax_number": "989-754-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48601",
            "telephone_number": "989-754-3000",
            "fax_number": "989-754-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 Belmont Pl",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033450",
            "country_code": "US",
            "telephone_number": "989-860-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANBOCXLAER",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.vanbocxlaer.1@11016.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.