Active NPI
Lynne Marie Lounsbury, CNP
- Nurse Practitioner
- Paw Paw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704145261
- Practice address
- 451 Health Pkwy
Suite B
Paw Paw, MI 49079-8242 - Phone
- (269) 655-3065
- Fax
- (269) 655-0588
- NPI assigned
- Jul 26, 2005
- 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 | 4704145261 | MI | Primary |
Addresses
Primary practice location
451 Health Pkwy
Suite B
Paw Paw, MI 49079-8242
Mailing address
451 Health Pkwy
Suite B
Paw Paw, MI 49079-8242
Phone (269) 655-3065
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105174835 | Medicaid | MI | |
| 700H060020 | Other | MI | BCBSM |
| 1861492423 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704145261 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients |
Locations
1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050
1717 Shaffer St
Ste 124
Kalamazoo, MI 49048
Phone (269) 226-5456
451 Health Pkwy
Ste B
Paw Paw, MI 49079
Phone (269) 655-3065
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1861492423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HEALTH PKWY",
"address_2": "SUITE B",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798242",
"telephone_number": "269-655-3065",
"fax_number": "269-655-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 HEALTH PKWY",
"address_2": "SUITE B",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798242",
"telephone_number": "269-655-3065",
"fax_number": "269-655-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUNSBURY",
"first_name": "LYNNE",
"middle_name": "MARIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704145261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105174835",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "700H060020",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861492423",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.