NPIMap

Individual provider Active NPI

Carmela Doll, FNP-BC

  • Nurse Practitioner
  • Oscoda, MI
National Provider Identifier
1922441088
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704235557 Issued in MI
Practice address
5939 N Huron Rd
Oscoda, MI 48750-9710
Phone
(989) 739-1441
Fax
(989) 739-6093
NPI assigned
Apr 9, 2013
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704235557 MI Primary

Addresses

Primary practice location

5939 N Huron Rd
Oscoda, MI 48750-9710

Mailing address

5939 N Huron Rd
Oscoda, MI 48750-9710
Phone (989) 739-1441

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carmeladoll@smomsjhs.allscriptsdirect.net

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
I20130801000540 MI Practitioner - Nurse Practitioner 3678714763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center TawasGroup PAC ID 9638070766, 36 clinicians

Practice addresses (Care Compare)

5939 N Huron Rd
Mymichigan Family Medicine
Oscoda, MI 48750-9710
Phone (989) 739-1441

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Tawas Current Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Nov 18, 2017 Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

5939 N Huron Rd
Oscoda, MI 48750
Phone (989) 739-1147

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Interoperability endpoints

  • Direct secure messaging: carmela.doll.1@11016.direct.athenahealth.com
  • Direct secure messaging: carmeladoll@smomsjhsys.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1922441088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 N HURON RD",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487509710",
            "telephone_number": "989-739-1441",
            "fax_number": "989-739-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 N HURON RD",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487509710",
            "telephone_number": "989-739-1441",
            "fax_number": "989-739-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "CARMELA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704235557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmeladoll@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5939 N Huron Rd",
            "city": "Oscoda",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487509710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oscoda, MI

Sources for this page

Verify at the official NPI Registry.