Individual provider Active NPI

Dawn Renae Fox, FNP-C

  • Family Nurse Practitioner
  • Portage, MI
National Provider Identifier
1922590512
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704234522 Issued in MI
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

Updated by the provider on Nov 19, 2024

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 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

IdentifierTypeStateIssuer
4704234522MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 9234041948, 181 clinicians

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 Home health agency, Jackson, MI, CCN 237274
  • Alpine Care Home Health Home health agency, Grand Rapids, MI, CCN 237676
  • Mary Free Bed at Home, LLC Home health agency, Grand Rapids, MI, CCN 237203
  • Compassus Home Health Home health agency, Portage, MI, CCN 237006
  • Elara Caring Home health agency, Niles, MI, CCN 239005
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704234522MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Healogics Specialty Physicians of Michigan, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Vpa PC CurrentSince Dec 1, 2024 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Theoria Medical CurrentSince Oct 28, 2024 Accepting new patients
Healogics Specialty Physicians of Indiana, LLC CurrentSince Nov 11, 2022 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

  • Direct secure messaging: dfox223483@direct.promedica.org
  • Direct secure messaging: dawn.fox.1@32913.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 26

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": "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

Verify at the official NPI Registry.