Individual provider Active NPI

Christopher Michael Donzell, FNP-BC

  • Family Nurse Practitioner
  • Lake City, MI
National Provider Identifier
1780932137
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704239421 Issued in MI
Practice address
1866 S Morey Rd
Lake City, MI 49651-9190
Phone
(231) 839-7282
Fax
(231) 839-7222
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 4704239421 MI Primary

Addresses

Primary practice location

1866 S Morey Rd
Lake City, MI 49651-9190

Mailing address

1866 S Morey Rd
Lake City, MI 49651-9190
Phone (231) 839-7282

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
I20120926000636 MI Practitioner - Nurse Practitioner 5092964585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake City Primary Care PCGroup PAC ID 7911242433, 2 clinicians

Practice addresses (Care Compare)

1866 S Morey Rd
Lake City, MI 49651-9190
Phone (231) 839-7282

Hospital & facility affiliations

  • Munson Home Care Home health agency, Traverse City, MI, CCN 237025
  • Advisacare Solutions of Northern Michigan, LLC Home health agency, Charlevoix, MI, CCN 237042
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704239421MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Munson Medical Center Current Accepting new patients
Community Mental Health for Central Michigan CurrentSince Nov 8, 2014 Accepting new patients
Munson Medical Center Nurse Practitioner CurrentSince Nov 1, 2020 Accepting new patients
Lake City Primary Care PC CurrentSince Aug 16, 2018 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

1866 S Morey Rd
Lake City, MI 49651
Phone (231) 839-7282

301 S Crapo St
Ste 1
Mount Pleasant, MI 48858

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21154/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake City Primary CareLake City, MI, CCN 238938 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Director
Aug 16, 2018
Aug 16, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1780932137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 S MOREY RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519190",
            "telephone_number": "231-839-7282",
            "fax_number": "231-839-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 S MOREY RD",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519190",
            "telephone_number": "231-839-7282",
            "fax_number": "231-839-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONZELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MI

Sources for this page

Verify at the official NPI Registry.