Individual provider Active NPI

Christopher Tanner, NP

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1922566728
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704301058 Issued in MI
Practice address
102 W Pierson Rd
Flint, MI 48505-3348
Phone
(810) 222-3033
NPI assigned
Mar 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704301058 MI Primary

Addresses

Primary practice location

102 W Pierson Rd
Flint, MI 48505-3348

Mailing address

5800 Dana Lynn
Goodrich, MI 48438-8905

Other identifiers 1

IdentifierTypeStateIssuer
4704301058OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408000202 MI Practitioner - Nurse Practitioner 2860733581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

4075 S Ctr Rd
Burton, MI 48519-1453
Phone (810) 743-4120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704301058MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Osh-Mi Physicians Group PC CurrentSince Jan 23, 2023 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Apr 1, 2019 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Jan 23, 2023 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Jan 5, 2026 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Jan 5, 2026 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients

Locations

4075 S Center Rd
Burton, MI 48519
Phone (810) 743-4120

4154 W Vienna Rd
Clio, MI 48420
Phone (810) 686-3747

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1922566728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 DANA LYNN",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484388905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485053348",
            "telephone_number": "810-222-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CHRISTOPHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704301058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704301058",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.