Emily Jean Puzan, NP
Individual provider Active NPI Family Nurse Practitioner · Deckerville, MI
NPI 1891351672 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1891351672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704313382 (MI)
- Practice address
- 3559 Pine St
Deckerville, MI 48427-7703 - Phone
- (810) 376-2835
- Fax
- (103) 767-0208
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 14
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
3559 Pine St
Deckerville, MI 48427-7703
Phone (810) 376-2885
Hospital & facility affiliations
- First State Home Health Care, Inc
- Deckerville Community Hospital
- Hills & Dales General Hospital
- Marlette Regional Hospital
- McKenzie Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220128002173 | MI | Practitioner - Nurse Practitioner | 5799178588 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deckerville Community Hospital, Inc. | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Deckerville Community Hospital Inc | Current | Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Deckerville Community Hospital, Inc | Current |
Accepting new patients | |
| Port Huron Physicians Medical Group PC | Current |
Accepting new patients | |
| Marlette Regional Hospital | Current |
Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current |
Accepting new patients | |
| Yehia I Elsafy M D P L C | Past | Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Past | Accepting new patients | |
| McLean Community Care, LLC | Family | Past |
Accepting new patients |
Locations
684 N Port Crescent St
Bad Axe, MI 48413
Phone (989) 912-6575
4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
2030 Black River St
Deckerville, MI 48427
Phone (810) 376-2835
3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835
2433 Black River 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
2603 Electric Ave
Ste 3
Port Huron, MI 48060
Phone (810) 985-1680
2611 Electric Ave
#E
Port Huron, MI 48060
Phone (810) 216-2902
2603 Electric Ave
Ste B
Port Huron, MI 48060
Phone (810) 985-6680
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
Interoperability endpoints
- epuzan119183@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704313382 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704313382 | MI | Yes |
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
Other providers in Deckerville, MI
- Malorie McVittie
- Nicole Miller
- Dana Nichol
- David Alan Nisbett
- Marisa Ann Pierce
- Sanilac Therapeutic Alternative Residential Treatment Corp
- Selad Corporation
- Selad Corporation
- Christina Tanton
- Harold Don Trend
All providers in Deckerville, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.