Individual provider Active NPI

Nathan Clyde Condie, D.O.

  • Physical Medicine & Rehabilitation Physician
  • East Lansing, MI
National Provider Identifier
1861628430
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101018410 Issued in MI
Practice address
4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804
Phone
(517) 884-8701
Fax
(517) 884-8787
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101018410 MI Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 5101018410 MI

Addresses

Primary practice location

4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804

Mailing address

804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 884-8701

Other practice location 1

1200 E Michigan Ave Ste 520
Lansing, MI 48912-1899
Phone (517) 364-5260

Other identifiers 1

IdentifierTypeStateIssuer
1861528430MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000627 MI Practitioner - Physical Medicine and Rehabilitation 1456599117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Midwestern University, Chicago College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

1200 E Michigan Ave
Suite 520
Lansing, MI 48912-1899
Phone (517) 364-5260

2900 Hannah Blvd
East Lansing, MI 48823-5384
Phone (517) 364-8070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
Michigan State University Physical Medicine & Rehabilitation CurrentSince Jun 14, 2013 Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Current Accepting new patients
Edward W. Sparrow Hospital Association Physical Medicine & Rehabilitation CurrentSince Apr 1, 2025 Accepting new patients
Michigan State University CurrentSince Jun 14, 2013 Accepting new patients
Msu Health Care Inc. Past Accepting new patients
The Smart Clinic Physical Medicine & Rehabilitation PastSince Jan 29, 2023 Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Capital City Pain Management, PC PastSince Jul 16, 2013 Accepting new patients
Msu Health Care Inc. Physical Medicine & Rehabilitation PastSince Feb 9, 2020 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

4660 S Hagadorn Rd
Ste 520
East Lansing, MI 48823
Phone (517) 884-8701

2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1200 E Michigan Ave
Ste 520
Lansing, MI 48912
Phone (517) 364-5151

1600 W Grand River Ave
Ste 2
Okemos, MI 48864
Phone (517) 349-6560

Interoperability endpoints

  • Direct secure messaging: nathan.condie.1@25394.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1861628430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-8701",
            "fax_number": "517-884-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S HAGADORN RD STE 500",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236804",
            "telephone_number": "517-884-8701",
            "fax_number": "517-884-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Michigan Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121899",
            "country_code": "US",
            "telephone_number": "517-364-5260",
            "fax_number": "517-364-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDIE",
        "first_name": "NATHAN",
        "middle_name": "CLYDE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101018410",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "5101018410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861528430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.