Active NPI
Marion G Wendt, NP
- Gerontology Nurse Practitioner
- Byron Center, MI
National Provider Identifier
1902870918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704223755
- Practice address
- 7751 Byron Center Ave SW
Suite C
Byron Center, MI 49315-8001 - Phone
- (616) 267-7668
- Fax
- (616) 356-1941
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704223755 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | 4704223755 | MI | Primary |
Addresses
Primary practice location
7751 Byron Center Ave SW
Suite C
Byron Center, MI 49315-8001
Mailing address
100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4780026 | Medicaid | MI | |
| 4780035 | Medicaid | MI | |
| 4780062 | Medicaid | MI | |
| 4780071 | Medicaid | MI | |
| 4780053 | Medicaid | MI | |
| 5008705490 | Other | MI | BCBSM |
| 4780044 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1073567806
-
- Durable Medical Equipment & Medical Supplies
- Holland, MI
- NPI 1871741652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1902870918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 BYRON CENTER AVE SW",
"address_2": "SUITE C",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493158001",
"telephone_number": "616-267-7668",
"fax_number": "616-356-1941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "MARION",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704223755",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704223755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4780026",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4780035",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4780062",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4780071",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4780053",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "5008705490",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4780044",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.