Individual provider Active NPI

Fatina Renee Kendall

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1932820677
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704294689 Issued in MI
Practice address
765 E Hamilton Ave
Flint, MI 48505-4707
Phone
(810) 233-5340
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 4704294689 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704294689 MI Primary

Addresses

Primary practice location

765 E Hamilton Ave
Flint, MI 48505-4707

Mailing address

3094 Wild Orchid LN
Burton, MI 48519-1583
Phone (810) 250-1106

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
I20221025001857 MI Practitioner - Nurse Practitioner 3173999646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, shared by 10 NPIs, 336 clinicians
New Paths, IncGroup PAC ID 2860806247, 6 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley Plaza
Attn Professional Billing Dept
Flint, MI 48503-5902

1 Hurley Plaza Attn Pro Billing Dept
Flint, MI 48503-5902

1 Hurley Plaza Ground N Clinic
Hurley Nurse Practitioner Group
Flint, MI 48503-5902
Phone (810) 262-9191

1 Hurley PLZ
Flint, MI 48503-5902

765 E Hamilton Ave
Flint, MI 48505-4707
Phone (810) 233-5340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
66.97
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704294689MIMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Paths, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Jul 28, 2023 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Nurse Practitioner CurrentSince Jul 28, 2023 Accepting new patients
Empowerment Solutions LLC Nurse Practitioner CurrentSince Jun 1, 2026 Accepting new patients
Hurley Medical Center CurrentSince Jul 28, 2023 Accepting new patients
Hurley Medical Center Nurse Practitioner Current Accepting new patients
Hurley Medical Center Current Accepting new patients

Locations

765 E Hamilton Ave
Flint, MI 48505
Phone (810) 233-5340

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

931 Martin Luther King Ave
Flint, MI 48503
Phone (810) 232-2091

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

Organizations & group practices 9

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.

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1932820677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 WILD ORCHID LN",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191583",
            "telephone_number": "810-250-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E HAMILTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485054707",
            "telephone_number": "810-233-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "FATINA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704294689",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704294689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.