Mary Woller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704196723 Issued in MI

Practice address

4675 Hill St
Cass City, MI 48726-1099

Phone

(989) 872-2121

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration Mi PLLCGroup PAC ID 5092998294, 10 clinicians

Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians

Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.woller.1@28492.direct.athenahealth.com
• Direct secure messaging: mary.wollernp.p3@direct.cvr.nextgenshare.com
• Direct secure messaging: mwoller95793@direct.covenanthealthcare.com

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.

• Center for Vein Restoration Mi PLLC

  • Surgery Physician
  • Portage, MI
  • NPI 1720388267
  Medicare reassignment Care Compare group NPD
• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment NPD
• Center for Physical Rehabilitation and Therapy LP

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1902288863
  Care Compare group
• Center for Vein Restoration Mi PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Midland, MI
  • NPI 1225906274
  NPD
• Hills & Dales General Hospital, Inc.

  dba Sandusky Rapid Care

  • General Practice Physician
  • Sandusky, MI
  • NPI 1306720529
  NPD
• Marlette Regional Hospital

  • Emergency Medicine Physician
  • Marlette, MI
  • NPI 1598840498
  NPD
• Marlette Regional Hospital

  dba Aspire Angle Street Clinic

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1730988999
  NPD
• Hills & Dales General Hospital, Inc.

  dba Cass City Medical Practice

  • Rural Health Clinic/Center
  • Cass City, MI
  • NPI 1487924221
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health Partners

  dba Mercy Health Muskegon

  • General Acute Care Hospital
  • Muskegon, MI
  • NPI 1831132133
  Care Compare affiliation

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1932704004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 WINN RD",
            "city": "LYNN",
            "state": "MI",
            "postal_code": "480971522",
            "telephone_number": "810-300-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261099",
            "telephone_number": "989-872-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLER",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704196723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Willett-O'Neil
• Katherine E Wilson, BT
• Morgan Wisenbaugh, BT
• Elliette Wisswell
• Macy Wolfe, BT
• April Lee Woodall
• Wright & Filippis, Inc.
• Wright & Filippis, Inc.
• Eric Yeager, D.C.
• Heidi Sue Yeager, B.S., D.C.

• Family Nurse Practitioner in Cass City, MI
• Providers in Cass City, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.

Verify at the official NPI Registry.