Active NPI
Mobicare, LLC
- Family Nurse Practitioner
- Oxford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704239808
- 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
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699081281 | Medicaid | MI |
Other names 1
- Katie Mysen, DNP and Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2151292 | Mobicare, LLC | Certificate of waiver | Jun 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Oxford, MI
- NPI 1699081281
-
- Family Nurse Practitioner
- Oxford, MI
- NPI 1013732239
-
- Family Nurse Practitioner
- Lapeer, MI
- NPI 1548822844
-
- Nurse Practitioner
- Oxford, MI
- NPI 1255939880
-
- Pediatrics Physician
- Fredericksburg, VA
- NPI 1134208226
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.