Individual provider Active NPI

Tina M Szatkowski, FNP-C

  • Family Nurse Practitioner
  • Alpena, MI
National Provider Identifier
1730747668
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704285375 Issued in MI
Practice address
814 S Ninth Ave
Alpena, MI 49707-2937
Phone
(989) 884-4055
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704285375 MI Primary

Addresses

Primary practice location

814 S Ninth Ave
Alpena, MI 49707-2937

Mailing address

814 S Ninth Ave
Alpena, MI 49707-2937

Other practice location 1

109 S 13th Ave
Alpena, MI 49707-1609
Phone (989) 356-2400

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
I20190717000698 MI Practitioner - Nurse Practitioner 6507191210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Palliative Care IncGroup PAC ID 6800148677, 26 clinicians

Practice addresses (Care Compare)

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

Hospital & facility affiliations

  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704285375MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpena Express Care and Family Practice, PLC CurrentSince Jun 8, 2019 Accepting new patients

Locations

109 S Thirteenth Ave
Alpena, MI 49707
Phone (989) 356-2400

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.

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1730747668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S NINTH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S NINTH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072937",
            "telephone_number": "989-884-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 S 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497071609",
            "country_code": "US",
            "telephone_number": "989-356-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZATKOWSKI",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704285375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.