Individual provider Active NPI

Julie Ann Reneaud, NP

  • Nurse Practitioner
  • Clare, MI
National Provider Identifier
1942575907
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704216397 Issued in MI
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

Updated by the provider on Mar 9, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120324000033 MI Practitioner - Nurse Practitioner 0244490589 Reassigns benefits to 3 organizations

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
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Associates of Mid-Michigan PC CurrentSince Nov 12, 2013 Accepting new patients
Degara App, PLLC Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Group CurrentSince Mar 23, 2020 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Mar 23, 2020 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.