NPIMap

Individual provider Active NPI

Emily Jean Puzan, NP

  • Family Nurse Practitioner
  • Deckerville, MI
National Provider Identifier
1891351672
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704313382 Issued in MI
Practice address
3559 Pine St
Deckerville, MI 48427-7703
Phone
(810) 376-2835
Fax
(103) 767-0208
NPI assigned
May 16, 2019
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704313382 MI
Family Nurse Practitioner 363LF0000X 4704313382 MI Primary

Addresses

Primary practice location

3559 Pine St
Deckerville, MI 48427-7703

Mailing address

3559 Pine St
Deckerville, MI 48427-7703
Phone (810) 376-2835

Other practice location 1

684 N Port Crescent St
Bad Axe, MI 48413-1275
Phone (989) 912-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128002173 MI Practitioner - Nurse Practitioner 5799178588 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deckerville Community Hospital IncGroup PAC ID 2163508821, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

3559 Pine St
Deckerville, MI 48427-7703
Phone (810) 376-2885

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704313382MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deckerville Community Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Apr 2, 2024 Accepting new patients
Port Huron Physicians Medical Group PC CurrentSince Dec 29, 2021 Accepting new patients
Deckerville Community Hospital Inc Current Accepting new patients
Marlette Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients
McLean Community Care, LLC Family PastSince Oct 1, 2021 Accepting new patients
Yehia I Elsafy M D P L C Past Accepting new patients

Locations

684 N Port Crescent St
Bad Axe, MI 48413
Phone (989) 912-6575

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

2030 Black River St
Deckerville, MI 48427
Phone (810) 376-2835

2433 Black River St
Deckerville, MI 48427
Phone (810) 376-2835

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

4190 24th Ave
Ste 208
Fort Gratiot, MI 48059
Phone (810) 216-4000

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

2603 Electric Ave
Ste 3
Port Huron, MI 48060
Phone (810) 985-1680

2603 Electric Ave
Ste B
Port Huron, MI 48060
Phone (810) 985-6680

2611 Electric Ave
#E
Port Huron, MI 48060
Phone (810) 216-2902

Interoperability endpoints

  • Direct secure messaging: epuzan119183@direct.covenanthealthcare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1891351672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 PINE ST",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484277703",
            "telephone_number": "810-376-2835",
            "fax_number": "103-767-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 PINE ST",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484277703",
            "telephone_number": "810-376-2835",
            "fax_number": "103-767-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "684 N Port Crescent St",
            "address_purpose": "LOCATION",
            "city": "Bad Axe",
            "state": "MI",
            "postal_code": "484131275",
            "country_code": "US",
            "telephone_number": "989-912-6575",
            "fax_number": "989-912-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUZAN",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704313382",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704313382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deckerville, MI

Sources for this page

Verify at the official NPI Registry.