Individual provider Active NPI

Lynda Marie Maxfield, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clio, MI
National Provider Identifier
1932654753
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704246414 Issued in MI
Practice address
4154 W Vienna Rd
Clio, MI 48420-2809
Phone
(810) 687-1008
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704246414 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704246414 MI Primary

Addresses

Primary practice location

4154 W Vienna Rd
Clio, MI 48420-2809

Mailing address

Hamilton Community Health Network
812 Root Street
Flint, MI 48503
Phone (810) 406-4246

Other practice location 1

Hamilton Community Health Network
812 Root Street
Flint, MI 48503
Phone (810) 406-4246 ext. 4990

Other names 1

  • Ms. Lynda M. McDonald Former name

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
I20160915000915 MI Practitioner - Nurse Practitioner 1254627375 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4154 W Vienna Rd
Clio, MI 48420-2809
Phone (810) 687-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4704246414MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network Inc. CurrentSince Nov 19, 2018 Accepting new patients
Flushing Urgent Care PLC CurrentSince Aug 13, 2016 Accepting new patients
Hamilton Community Health Network, Inc. CurrentSince Nov 19, 2018 Accepting new patients
Burton Urgent Care PLLC CurrentSince May 30, 2017 Accepting new patients
Hamilton Community Health Network Inc. Past Accepting new patients

Locations

1481 S Center Rd
Ste B
Burton, MI 48509
Phone (810) 742-6802

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

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

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

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

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

1485 E M 21
Owosso, MI 48867
Phone (810) 407-7989

Interoperability endpoints

  • Direct secure messaging: lynda.maxfield.1@25862.direct.athenahealth.com

Organizations & group practices 6

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1932654753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HAMILTON COMMUNITY HEALTH NETWORK",
            "address_2": "812 ROOT STREET",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-406-4246",
            "fax_number": "810-234-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202809",
            "telephone_number": "810-687-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hamilton Community Health Network",
            "address_2": "812 Root Street",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "48503",
            "country_code": "US",
            "telephone_number": "810-406-4246 x4990",
            "fax_number": "810-234-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "LYNDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704246414",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704246414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "MCDONALD",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clio, MI

Sources for this page

Verify at the official NPI Registry.