Individual provider Active NPI

Heather Cravener, FNP-BC

  • Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1962014670
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704311223 Issued in MI
Practice address
4632 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone
(810) 606-7181
NPI assigned
Aug 24, 2020
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 4704311223 MI Primary

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

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
I20200910002884 MI Practitioner - Nurse Practitioner 6204254030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Rehabilitation Group PCGroup PAC ID 2860484888, 6 clinicians

Practice addresses (Care Compare)

4632 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone (810) 606-7181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Urgent Care, P.L.L.C. CurrentSince Apr 5, 2023 Accepting new patients
Integrative Spine and Pain Management, PLLC PastSince Aug 30, 2020 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

  • Direct secure messaging: hcravener1124037@direct.hfhs.org
  • Direct secure messaging: heather.cravener.1@31854.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1962014670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENER",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704311223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.