Mark George Mynsberge, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704202716 Issued in MI

Practice address

1002 E Grand River Ave
Howell, MI 48843-1718

Phone

(517) 546-8701

NPI assigned

Dec 12, 2021

Last updated

Dec 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04420

  • Community/Retail Pharmacy
  • Howell, MI
  • NPI 1467561936
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 07877

  • Community/Retail Pharmacy
  • Pinckney, MI
  • NPI 1528269172
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1770242273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 SPIREA",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436822",
            "telephone_number": "810-938-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431718",
            "telephone_number": "517-546-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 S Dexter St",
            "address_purpose": "LOCATION",
            "city": "Pinckney",
            "state": "MI",
            "postal_code": "481699071",
            "country_code": "US",
            "telephone_number": "734-878-2047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYNSBERGE",
        "first_name": "MARK",
        "middle_name": "GEORGE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704202716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mynsbem@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1019 Spirea",
            "city": "Howell",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488436822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cara Jo Murray, MS, OTRL
• Kenzie Nicole Murray
• Jerzy Blake Muscat
• Vanya Dorel Myatt, PHARMD
• Laura M Myers-Meske, LMSW
• Molly Myska
• Stephanie Kay Nalepa Hudge, MS, BCBA
• Lori Jo Nastevski
• Navy
• Noelle Marieanne Nelson

• Registered Nurse in Howell, MI
• Providers in Howell, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.