Organization Active NPI

Mobicare, LLC

  • Family Nurse Practitioner
  • Oxford, MI
National Provider Identifier
1750876173
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704239808 Issued in MI
Legal business name
MOBICARE, LLC
Practice address
605 S Lapeer Rd Ste D
Oxford, MI 48371-6509
Phone
(248) 274-6066
Fax
(248) 278-4876
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dr. Katie L Mysen, DNP, FNP-BCNPI 1699081281
Title
Owner
Phone
(248) 274-6066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704239808 MI Primary

Addresses

Primary practice location

605 S Lapeer Rd Ste D
Oxford, MI 48371-6509

Mailing address

605 S Lapeer Rd Ste D
Oxford, MI 48371-6509
Phone (248) 274-6066

Other identifiers 1

IdentifierTypeStateIssuer
1699081281MedicaidMI

Other names 1

  • Katie Mysen, DNP and Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180905002722 MI Part B Supplier - Clinic/Group Practice 4284984667 Receives reassigned benefits from 4 practitioners
Practice locations: Oxford, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2151292Mobicare, LLC605 S Lapeer Road Suite D, Oxford, MI 48371Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory

Locations

605 S Lapeer Rd
Ste D
Oxford, MI 48371
Phone (248) 274-6066

605 S Lapeer Rd
Oxford, MI 48371

605 S Lapeer Rd
Ste D
Oxford, MI 48371

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1750876173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S LAPEER RD STE D",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716509",
            "telephone_number": "248-274-6066",
            "fax_number": "248-278-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S LAPEER RD STE D",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716509",
            "telephone_number": "248-274-6066",
            "fax_number": "248-278-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "MYSEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-274-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699081281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katie Mysen, DNP and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.