Mary Claire Macinnes, WHNP-B.C., M.S.N

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704183515 Issued in MI

Practice address

220 W Ellsworth St
Midland, MI 48640-5194

Phone

(989) 832-6769

NPI assigned

Aug 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Claire Stockman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

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.

• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1881622892
  NPD (past)
• County of Midland

  • State or Local Public Health Clinic/Center
  • Midland, MI
  • NPI 1295741551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1881940328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W ELLSWORTH ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405194",
            "telephone_number": "989-832-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W ELLSWORTH ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405194",
            "telephone_number": "989-832-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINNES",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-B.C., M.S.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704183515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704183515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STOCKMAN",
            "middle_name": "CLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Saige Lyons, MSN, APRN, CPNP-PC
• Meihui Ma, M.D.
• Lauren Macdonald
• Anna Macdougall, PA-C
• Rebecca J Macfalda, M.S.
• Monica A Mackenzie, NPC
• Rebecca Macklem
• Sujay Madduri, M.D.
• Teona Maghlakelidze, MD
• Jessica Maginity

• Nurse Practitioner in Midland, MI
• Providers in Midland, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.