Diedra Hinds-Springstroh

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kingsford, MI

NPI 1760038780 · NPPES record last updated Aug 15, 2019

Key facts

NPI
1760038780
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
4704239280 (MI)
Practice address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone
(906) 774-0522
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northpointe Behavioral Healthcare System (7 clinicians)

Practice addresses (Care Compare)

715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191009002881 MI Practitioner - Nurse Practitioner 8729319561 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Northpointe Behavioral Healthcare System Current
since Sep 9, 2019
Accepting new patients
Northpointe Behavioral Healthcare System Psychiatric/Mental Health Current
since Sep 9, 2019
Accepting new patients

Locations

703 N 2nd Ave
Iron River, MI 49935
Phone (906) 265-5126

715 Pyle Dr
Kingsford, MI 49802
Phone (906) 774-0522

401 10th Ave
Menominee, MI 49858
Phone (906) 774-0522

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704239280 MI Yes

Addresses

Primary practice location

715 Pyle Dr
Kingsford, MI 49802-4456

Mailing address

715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 774-0522

Other providers in Kingsford, MI

All providers in Kingsford, MI · Psychiatric/Mental Health Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.