Individual provider Active NPI

Deborah K Gruver, FNP

  • Nurse Practitioner
  • Laurium, MI
National Provider Identifier
1801911342
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704200660 Issued in MI
Practice address
205 Osceola St
Laurium, MI 49913-2134
Phone
(906) 337-6500
Fax
(906) 337-6597
NPI assigned
Mar 21, 2007
Last updated
Oct 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704200660 MI Primary

Addresses

Primary practice location

205 Osceola St
Laurium, MI 49913-2134

Mailing address

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-6500

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
I20080904000505 MI Practitioner - Nurse Practitioner 7719053370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians

Practice addresses (Care Compare)

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704200660MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Apr 1, 2008 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Keweenaw CurrentSince Apr 1, 2008 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

205 Osceola St
Fl 1
Laurium, MI 49913

Interoperability endpoints

  • Direct secure messaging: dgruver19946@direct.aspirus.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1801911342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6500",
            "fax_number": "906-337-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6500",
            "fax_number": "906-337-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUVER",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704200660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurium, MI

Sources for this page

Verify at the official NPI Registry.