Mary Nelson Sabo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704214348 Issued in MI

Practice address

4154 W Vienna Rd
Clio, MI 48420-2809

Phone

(810) 687-1008

NPI assigned

May 24, 2018

Last updated

Jan 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4
• Direct secure messaging: mary.nelson.sabo.1@15223.direct.athenahealth.com
• Direct secure messaging: mary.nelson.sabo.1@20296.direct.athenahealth.com

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.

• Caro Express Clinic PLC

  dba Naik Health Care

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1922185750
  Medicare reassignment NPD
• Hamilton Community Health Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Flint, MI
  • NPI 1386624278
  Medicare reassignment NPD
• Mohamed Ally Health Plaza PLLC

  • Internal Medicine Physician
  • Otisville, MI
  • NPI 1891103784
  Medicare reassignment NPD
• Hamilton Community Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Burton, MI
  • NPI 1639997257
  NPD
• Purushottam Naik, M.D, P.C.

  dba Purushottam Naik, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Flint, MI
  • NPI 1184766958
  NPD
• Caro Health Plaza PLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1659326395
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1942791074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 NICHOLS AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074449",
            "telephone_number": "810-265-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 W VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202809",
            "telephone_number": "810-687-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON SABO",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704214348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raeonia Lea Morgan
• Alisha Mosher
• Taylor N Moss
• Joan Murphy
• My Serenity My Life PLLC
• Morgan Nottingham
• Nichole E Numerich
• Nutrition for Life LLC
• Laurie O'Connor
• Cheryl I Osborn

• Family Nurse Practitioner in Clio, MI
• Providers in Clio, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.