Individual provider Active NPI

Jodie Risnes

  • Nurse Practitioner
  • Midland, MI
National Provider Identifier
1760811392
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704276448 Issued in MI
Practice address
4000 Wellness Dr
Midland, MI 48670-0001
Phone
(989) 839-1644
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704276448 MI Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-0001

Mailing address

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644

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
I20140320001997 MI Practitioner - Nurse Practitioner 5395976153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Wellness Christie BLDG
Midland, MI 48670-2000

4000 Wellness Dr
Attn Christie Building
Midland, MI 48670-2000

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Oct 12, 2020 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jul 1, 2018 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Oct 12, 2020 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Nov 11, 2013 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Group CurrentSince Nov 11, 2013 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jul 1, 2018 Accepting new patients
Mymichigan Medical Group Current Accepting new patients

Locations

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

4201 Campus Ridge Dr
Ste 3000
Midland, MI 48640
Phone (989) 488-5450

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

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

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Organizations & group practices 9

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1760811392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "989-839-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "989-839-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISNES",
        "first_name": "JODIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704276448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.