Active NPI
Julie Ann Reneaud, NP
- Nurse Practitioner
- Clare, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704216397
- Practice address
- 602 Beech St
Clare, MI 48617-1466 - Phone
- (989) 802-8730
- Fax
- (989) 802-8736
- NPI assigned
- Mar 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704216397 | MI | Primary |
Addresses
Primary practice location
602 Beech St
Clare, MI 48617-1466
Mailing address
602 Beech St
Clare, MI 48617-1466
Phone (989) 802-8730
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644
Hospital & facility affiliations
- Mymichigan Medical Center Midland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renal Associates of Mid-Michigan PC | Current | Accepting new patients | |
| Degara App, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Mymichigan Medical Group | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000
602 Beech St
Ste 3210
Clare, MI 48617
Phone (989) 802-8817
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
415 W Wackerly St
Midland, MI 48640
Phone (989) 837-6505
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
-
- Nephrology Physician
- Midland, MI
- NPI 1194911941
-
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Internal Medicine Physician
- Midland, MI
- NPI 1629027669
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1942575907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 BEECH ST",
"city": "CLARE",
"state": "MI",
"postal_code": "486171466",
"telephone_number": "989-802-8730",
"fax_number": "989-802-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 BEECH ST",
"city": "CLARE",
"state": "MI",
"postal_code": "486171466",
"telephone_number": "989-802-8730",
"fax_number": "989-802-8736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENEAUD",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704216397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clare, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.