Active NPI
Maureen E Ascione, ACNP
- Nurse Practitioner
- Traverse City, MI
National Provider Identifier
1851637169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704244534
- Practice address
- 4624 N Spider Lake Rd
Traverse City, MI 49696-8440 - Phone
- (231) 947-0673
- Fax
- (801) 740-2847
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704244534 | MI | Primary |
Addresses
Primary practice location
4624 N Spider Lake Rd
Traverse City, MI 49696-8440
Mailing address
1105 6TH St.
Traverse Observation Physician Services
Traverse City, MI 49684
Phone (231) 947-0673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851637169 | Other | MI | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Michigan Emergency Physicians PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1073597944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1851637169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 6TH ST.",
"address_2": "TRAVERSE OBSERVATION PHYSICIAN SERVICES",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684",
"telephone_number": "231-947-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4624 N SPIDER LAKE RD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496968440",
"telephone_number": "231-947-0673",
"fax_number": "801-740-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCIONE",
"first_name": "MAUREEN",
"middle_name": "E",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704244534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1851637169",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.