Renee Haberland, RN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Stephenson, MI
NPI 1972044014 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1972044014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704309052NSA17253 (MI)
- Practice address
- S926 US Highway 41
Stephenson, MI 49887-8808 - Phone
- (906) 753-4665
- NPI assigned
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carlson Medical PC
Practice addresses (Care Compare)
S926 US Hwy 41
Stephenson, MI 49887-8808
Phone (906) 753-4665
Hospital & facility affiliations
- Aurora Medical Center Bay Area
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 |
|---|---|---|---|---|
| I20170915000211 | MI | Practitioner - Nurse Practitioner | 1254605132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704309052 | MI | MD | Registered Nurse |
| 144214 | WI | MD | Registered Nurse |
| 4704309052NSA17253 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlson Medical PC | Current |
Accepting new patients |
Locations
S926 US Highway 41
Stephenson, MI 49887
Phone (906) 753-4665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704309052 | MI | |
| Registered Nurse | 163W00000X | 144214 | WI | |
| Family Nurse Practitioner | 363LF0000X | 4704309052NSA17253 | MI | Yes |
Addresses
Primary practice location
S926 US Highway 41
Stephenson, MI 49887-8808
Mailing address
W5107 Twin Creek Rd # 5
Menominee, MI 49858-9678
Phone (906) 792-8771
Other practice location 1
W5107 Twin Creek Rd # 5
Menominee, MI 49858-9678
Phone (906) 792-8771
Other providers in Stephenson, MI
- Hannah Janelle Aderman
- Aurora Medical Center Bay Area, Inc.
- Sarah Carhoun
- Carlson Medical PC
- Vernette Marie Carlson
- Margaret Eva Jolene Kelbach
- Sheila M Konkel
- Tracy Lynn Lacanne
- Madison Lynn Martin
- Mid-County Rescue Squad, Inc.
All providers in Stephenson, MI · Family 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 Jul 21, 2022. 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.