Individual provider Active NPI

Luanne Parks, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Manistee, MI
National Provider Identifier
1851313878
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704160005 Issued in MI
Practice address
2198 US 31 S
Manistee, MI 49660-9618
Phone
(231) 655-3146
Fax
(231) 723-1735
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704160005 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704160005 MI Primary

Addresses

Primary practice location

2198 US 31 S
Manistee, MI 49660-9618

Mailing address

2198 US 31 S
Manistee, MI 49660-9618

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Direct Messaging Address lparks8708@epic00.shdirect.org

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
I20080807000148 MI Practitioner - Nurse Practitioner 0648344770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2198 US 31
Manistee Benzie CMH Services
Manistee, MI 49660-9618
Phone (231) 723-1719

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704160005MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Nov 11, 2024 Accepting new patients
Manistee Benzie Community Mental Health CurrentSince Jan 13, 2025 Accepting new patients
Manistee Benzie Community Mental Health CurrentSince Jan 13, 2025 Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Locations

6051 Frankfort Hwy
Ste 200
Benzonia, MI 49616
Phone (231) 655-3146

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

4554 W 48th St
Fremont, MI 49412
Phone (231) 924-3990

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

2198 US Highway 31 S
Manistee, MI 49660
Phone (231) 655-3146

310 Glocheski Dr
Manistee, MI 49660
Phone (231) 309-1719

Organizations & group practices 5

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 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1851313878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 US 31 S",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 US 31 S",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609618",
            "telephone_number": "231-655-3146",
            "fax_number": "231-723-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "LUANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704160005",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704160005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lparks8708@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "7 Atkinson Dr",
            "city": "Ludington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494311953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.