Deborah K Gruver, FNP
Individual provider Active NPI Nurse Practitioner · Laurium, MI
NPI 1801911342 · NPPES record last updated Oct 17, 2008
Key facts
- NPI
- 1801911342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704200660 (MI)
- Practice address
- 205 Osceola St
Laurium, MI 49913-2134 - Phone
- (906) 337-6500
- Fax
- (906) 337-6597
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Keweenaw
Practice addresses (Care Compare)
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100
Hospital & facility affiliations
- Aspirus Keweenaw Hospital and Clinics
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 |
|---|---|---|---|---|
| I20080904000505 | MI | Practitioner - Nurse Practitioner | 7719053370 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704200660 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current |
Accepting new patients | |
| Aspirus Keweenaw | Current |
Accepting new patients | |
| Aspirus Keweenaw | Current | 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
- dgruver19946@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704200660 | MI | Yes |
Addresses
Primary practice location
205 Osceola St
Laurium, MI 49913-2134
Mailing address
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704200660 | Other | MI | LICENSE |
Other providers in Laurium, MI
- Francis J Geronimo
- Brett Michael Gervais
- Pauline Giacoletto
- Sheri L. Giordana
- Ryan John Greenley
- Bonnie L Hafeman
- Shannon I Handler
- Megan Lynn Hanenburg
- Bruce Edwin Harvey
- Jerry Russell Hill
All providers in Laurium, MI · 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 Oct 17, 2008. 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.