Individual provider Active NPI

Marilyn L Rosi, FNP

  • Nurse Practitioner
  • Grayling, MI
National Provider Identifier
1942478797
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704114965 Issued in MI
Practice address
1010 W. North Down River Road
Grayling, MI 49738
Phone
(989) 348-7671
Fax
(989) 348-8414
NPI assigned
Feb 14, 2008
Last updated
Jan 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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 4704114965 MI Primary

Addresses

Primary practice location

1010 W. North Down River Road
Grayling, MI 49738

Mailing address

3781 Momentum PL
Chicago, IL 60689
Phone (989) 348-7671

Other names 1

  • Marilyn A Rosi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704114965MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1942478797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60689",
            "telephone_number": "989-348-7671",
            "fax_number": "989-348-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W. NORTH DOWN RIVER ROAD",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "49738",
            "telephone_number": "989-348-7671",
            "fax_number": "989-348-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSI",
        "first_name": "MARILYN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704114965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "ROSI",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayling, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.