Individual provider Active NPI

Carol A Norman, CFNP

  • Nurse Practitioner
  • Newberry, MI
National Provider Identifier
1932263084
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704175210 Issued in MI
Practice address
502 W Harrie St
Newberry, MI 49868-1209
Phone
(906) 293-9200
Fax
(906) 586-3264
NPI assigned
Dec 21, 2006
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 4704175210 MI Primary

Addresses

Primary practice location

502 W Harrie St
Newberry, MI 49868-1209

Mailing address

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

Other identifiers 1

IdentifierTypeStateIssuer
4704175210OtherMINURSE PRACTIONER ID NO.

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carol.norman@hnjh.eclinicaldirectplus.com Direct

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
I20110426000660 MI Practitioner - Nurse Practitioner 8022293679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Mar 26, 2014 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Mar 26, 2014 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Past Accepting new patients

Locations

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

Interoperability endpoints

  • Direct secure messaging: cnorman128980@mymichiganhealth.midirect.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 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1932263084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209",
            "telephone_number": "906-293-9200",
            "fax_number": "906-586-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HARRIE ST",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498681209",
            "telephone_number": "906-293-9200",
            "fax_number": "906-586-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704175210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER ID NO.",
            "identifier": "4704175210",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carol.norman@hnjh.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "HNJH Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "502 W Harrie St",
            "city": "Newberry",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498681209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newberry, MI

Sources for this page

Verify at the official NPI Registry.