Active NPI
Dawn Renae Fox, FNP-C
- Family Nurse Practitioner
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704234522
- Practice address
- 2725 Airview Blvd Ste 105
Portage, MI 49002-1804 - Phone
- (269) 349-8386
- NPI assigned
- May 31, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704234522 | MI | Primary |
Addresses
Primary practice location
2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Mailing address
PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Other practice location 1
375 N Willowbrook Rd
Coldwater, MI 49036-8847
Phone (517) 924-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704234522 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181130000927 | MI | Practitioner - Nurse Practitioner | 4587908611 | Reassigns benefits to 5 organizations |
| I20221221001414 | IN | Practitioner - Nurse Practitioner | 4587908611 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vpa PC
Practice addresses (Care Compare)
Portage, MI 49002
Phone (269) 349-8386
5838 W Brick Rd
Suite 106
South Bend, IN 46628-8420
Phone (216) 678-4599
Hospital & facility affiliations
- Elara Caring
- Alpine Care Home Health
- Mary Free Bed at Home, LLC
- Compassus Home Health
- Elara Caring
- Insight Hospital and Medical Center Coldwater
- Bronson Methodist Hospital
- Bronson Battle Creek Hospital
- Borgess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704234522 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Healogics Specialty Physicians of Michigan, PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Healogics Specialty Physicians of Indiana, LLC | Current | Accepting new patients |
Locations
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971
370 E Chicago St
Ste 700
Coldwater, MI 49036
Phone (517) 279-5099
90 N Michigan Ave
Coldwater, MI 49036
Phone (517) 279-9808
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
Interoperability endpoints
- dfox223483@direct.promedica.org
- dawn.fox.1@32913.direct.athenahealth.com
- dfox@landmarkhealth-direct.org
Organizations & group practices 26
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wyandotte, MI
- NPI 1497125157
MI
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Terre Haute, IN
- NPI 1396145975
IN
-
- Family Medicine Physician
- Troy, MI
- NPI 1336153295
-
- Clinical Medical Laboratory
- Troy, MI
- NPI 1427120336
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Troy, MI
- NPI 1871666784
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Burr Ridge, IL
- NPI 1073968525
-
- Family Medicine Physician
- Renton, WA
- NPI 1093117574
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1164149365
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
Hospital
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1487606687
-
- Home Health Agency
- Niles, MI
- NPI 1902382385
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1023477478
-
- Home Health Agency
- Portage, MI
- NPI 1083670418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1922590512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295 DEPT 93394",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 AIRVIEW BLVD STE 105",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021804",
"telephone_number": "269-349-8386"
}
],
"practiceLocations": [
{
"address_1": "375 N Willowbrook Rd",
"address_purpose": "LOCATION",
"city": "Coldwater",
"state": "MI",
"postal_code": "490368847",
"country_code": "US",
"telephone_number": "517-924-1790",
"fax_number": "517-924-1791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "DAWN",
"middle_name": "RENAE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704234522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4704234522",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.