Diane L Gutchak, DNP
Individual provider Active NPI Family Nurse Practitioner · Durand, MI
NPI 1780723015 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1780723015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704149122 (MI)
- Practice address
- 9099 E Lansing Rd Ste a
Durand, MI 48429-1083 - Phone
- (989) 288-2651
- Fax
- (989) 288-2087
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital
Practice addresses (Care Compare)
9099 E Lansing Rd a
MH Family Medicine Durand
Durand, MI 48429-1083
Phone (989) 288-2651
Hospital & facility affiliations
- Memorial Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 58.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.45
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040329000096 | MI | Practitioner - Nurse Practitioner | 3173415767 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704149122 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Current |
Accepting new patients | |
| Hurley Medical Center | Nurse Practitioner | Current |
Accepting new patients |
| Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Family | Current |
Accepting new patients |
| Memorial Hospital | Nurse Practitioner | Past | Accepting new patients |
| Memorial Hospital | Nurse Practitioner | Past | Accepting new patients |
| Memorial Hospital | Nurse Practitioner | Past | Accepting new patients |
| Genesys Integrated Group Practice PC | Past | Accepting new patients |
Locations
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
9099 E Lansing Rd
Ste B
Durand, MI 48429
Phone (989) 288-0400
9099 E Lansing Rd
Ste A
Durand, MI 48429
Phone (989) 288-2651
2 Hurley Plz
Ste 211
Flint, MI 48503
Phone (810) 235-3600
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
218 W Main St
Ste 100
Flushing, MI 48433
Phone (989) 720-7562
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
1975 W M 21
Ste 103
Owosso, MI 48867
239 N State Rd
Ste 101
Owosso, MI 48867
Phone (989) 725-8688
1002 E M 21
Ste 100
Owosso, MI 48867
Phone (989) 720-5400
Interoperability endpoints
- dianegutchak@memh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704149122 | MI | Yes |
Addresses
Primary practice location
9099 E Lansing Rd Ste a
Durand, MI 48429-1083
Mailing address
9099 E Lansing Rd Ste a
Durand, MI 48429-1083
Phone (989) 288-2651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780723015 | Medicaid | MI |
Other providers in Durand, MI
- Durand Senior Care and Rehab Center, LLC
- Dva Ambulance, Inc.
- Malena Forgach
- Udhav Nitin Gaitonde
- Lawrence A Gralewski
- Robert M. Hass
- Jason Hollady
- Adam J Horski
- Hurley Medical Center
- Hurley Medical Center
All providers in Durand, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.