Wanda Kay Myers, NP
Individual provider Active NPI Family Nurse Practitioner · Carson City, MI
NPI 1801026901 · NPPES record last updated Apr 20, 2011
Key facts
- NPI
- 1801026901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704152301 (MI)
- Practice address
- 102 S 3Rd St
Suite 100
Carson City, MI 48811-5115 - Phone
- (989) 584-1308
- Fax
- (989) 584-0307
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sparrow Carson Hospital
Practice addresses (Care Compare)
1014 E Washington St
Greenville Family Care Center
Greenville, MI 48838-2463
Phone (616) 754-7145
Hospital & facility affiliations
- University of Michigan Health-Sparrow Carson
- Spectrum Health United Hospital
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 |
|---|---|---|---|---|
| I20091022000074 | MI | Practitioner - Nurse Practitioner | 4082751185 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704152301 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current |
Accepting new patients | |
| Sparrow Carson Hospital | Current |
Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308
11017 W 3rd St
Fowler, MI 48835
Phone (517) 593-2525
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
1014 E Washington St
Ste B
Greenville, MI 48838
545 N State St
Stanton, MI 48888
Phone 9898318301 ext. 360
Interoperability endpoints
- wloudens@yourcarecommunity.org
- wmyers53354@sparrowdirecthie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704152301 | MI | Yes |
Addresses
Primary practice location
102 S 3Rd St
Suite 100
Carson City, MI 48811-5115
Mailing address
406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-3971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00874177 | Other | MI | RAILROAD MEDICARE |
| CA8440 | Other | MI | RAILROAD MEDIARE GROUP PTAN |
Other names
- Wanda Kay Vanheck
Other providers in Carson City, MI
- Danielle Matson
- Matthew Haglund PC
- Lucia McElwain
- Jeffrey Jay Miller
- Patrick Myers
- Sati S Nichols
- Joe D Patton
- Elizabeth T. Phillips
- Evelyn Laine Przybylski
- John Clemens Putz
All providers in Carson City, 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 Apr 20, 2011. 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.