Heather Cravener, FNP-BC
Individual provider Active NPI Nurse Practitioner · Grand Blanc, MI
NPI 1962014670 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1962014670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704311223 (MI)
- Practice address
- 4632 Genesys Pkwy
Grand Blanc, MI 48439-8067 - Phone
- (810) 606-7181
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Rehabilitation Group PC
Practice addresses (Care Compare)
4632 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone (810) 606-7181
Hospital & facility affiliations
- Ascension Genesys Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200910002884 | MI | Practitioner - Nurse Practitioner | 6204254030 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704311223 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Urgent Care, P.L.L.C. | Current |
Accepting new patients | |
| Integrative Spine and Pain Management, PLLC | Past |
Accepting new patients |
Locations
9749 Dixie Hwy
Ste B
Clarkston, MI 48348
Phone (248) 942-5888
2116 S Milford Rd
Highland, MI 48357
Phone (248) 942-5888
Interoperability endpoints
- heather.cravener.1@31854.direct.athenahealth.com
- hcravener1124037@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704311223 | MI | Yes |
Addresses
Primary practice location
4632 Genesys Pkwy
Grand Blanc, MI 48439-8067
Mailing address
4632 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone (810) 606-7181
Other providers in Grand Blanc, MI
- Daniel Joseph Cowden
- Chelsea Cox
- Paige Cox
- Jenna Marie Coyle
- Erin J Crane
- Abigail Christine Crawford
- Candace Ray Crawley
- Noel Creager
- Creekside Counseling Group
- Creekside Counseling Group LLC
All providers in Grand Blanc, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.