Individual provider Active NPI

Libby Paige Tharp, FNP-C

  • Family Nurse Practitioner
  • Beaverton, MI
National Provider Identifier
1942040217
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704383423 Issued in MI
Practice address
439 S Ross St # M-18
Beaverton, MI 48612-9101
Phone
(989) 246-3500
NPI assigned
May 25, 2024
Last updated
May 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 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 4704383423 MI Primary

Addresses

Primary practice location

439 S Ross St # M-18
Beaverton, MI 48612-9101

Mailing address

439 S Ross St # M-18
Beaverton, MI 48612-9101
Phone (989) 246-3500

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
I20240826001496 MI Practitioner - Nurse Practitioner 2163961913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midmichigan Health ServicesGroup PAC ID 7911800495, 27 clinicians

Practice addresses (Care Compare)

439 S Ross St
Beaverton, MI 48612-9101
Phone (989) 422-5122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midmichigan Health Services CurrentSince Aug 19, 2024 Accepting new patients
Midmichigan Health Services CurrentSince Aug 19, 2024 Accepting new patients

Locations

439 S Ross St
Beaverton, MI 48612
Phone (989) 246-3500

439 S Ross St
#M18
Beaverton, MI 48612
Phone (989) 246-3500

9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183

Organizations & group practices 2

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 6

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": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1942040217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 S ROSS ST # M-18",
            "city": "BEAVERTON",
            "state": "MI",
            "postal_code": "486129101",
            "telephone_number": "989-246-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S ROSS ST # M-18",
            "city": "BEAVERTON",
            "state": "MI",
            "postal_code": "486129101",
            "telephone_number": "989-246-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "LIBBY",
        "middle_name": "PAIGE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704383423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, MI

Sources for this page

Verify at the official NPI Registry.