Individual provider Active NPI

Renee Lyn Kern, FNP-BC

  • Family Nurse Practitioner
  • Mt Pleasant, MI
National Provider Identifier
1770829467
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704242689 Issued in MI
Practice address
4599 Jennifer LN
Mt Pleasant, MI 48858-2064
Phone
(989) 317-4762
Fax
(989) 317-4766
NPI assigned
Dec 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704242689 MI Primary

Addresses

Primary practice location

4599 Jennifer LN
Mt Pleasant, MI 48858-2064

Mailing address

2252 W Chippewa River Rd
Midland, MI 48640-9127
Phone (989) 430-4608

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
I20130425000208 MI Practitioner - Nurse Practitioner 6901042688 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

3009 N Saginaw Rd
Mymichigan Urgent Care Midland
Midland, MI 48640-4555
Phone (989) 633-1350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704242689MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Alma CurrentSince Sep 13, 2015 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 13, 2015 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 13, 2015 Accepting new patients
Mymichigan Medical Center Alma Nurse Practitioner CurrentSince Sep 13, 2015 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Sep 13, 2015 Accepting new patients
McLaren Central Michigan Past Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

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

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

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

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

3691 W M 55
West Branch, MI 48661
Phone (989) 312-8104

Interoperability endpoints

  • Direct secure messaging: rkern6600@mymichiganhealth.midirect.net

Organizations & group practices 8

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 5

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": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1770829467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 W CHIPPEWA RIVER RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409127",
            "telephone_number": "989-430-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4599 JENNIFER LN",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582064",
            "telephone_number": "989-317-4762",
            "fax_number": "989-317-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "RENEE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704242689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.