Individual provider Active NPI

Elaine M McNamara, NP

  • Nurse Practitioner
  • Owosso, MI
National Provider Identifier
1972735801
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704138357 Issued in MI
Practice address
721 N Shiawassee St Ste 101
Owosso, MI 48867-1632
Phone
(989) 729-4673
Fax
(989) 725-2617
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 4704138357 MI Primary

Addresses

Primary practice location

721 N Shiawassee St Ste 101
Owosso, MI 48867-1632

Mailing address

721 N Shiawassee St Ste 101
Owosso, MI 48867-1632
Phone (989) 729-4673

Other identifiers 1

IdentifierTypeStateIssuer
4704138357OtherMISTATE LISC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704138357MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Nurse Practitioner Current Accepting new patients
Memorial Hospital CurrentSince Sep 26, 2011 Accepting new patients
Memorial Hospital CurrentSince Sep 26, 2011 Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

721 N Shiawassee St
Ste 101
Owosso, MI 48867
Phone (989) 729-4673

812 Bradley St
Owosso, MI 48867
Phone (989) 725-8171

818 W King St
Ste 300
Owosso, MI 48867
Phone (989) 729-4190

1975 W M 21
Ste 103
Owosso, MI 48867

Interoperability endpoints

  • Direct secure messaging: elainemcnamara@memh.allscriptsdirect.net
  • Direct secure messaging: e.mcnamara@memorialhealthcare.midirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1972735801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N SHIAWASSEE ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671632",
            "telephone_number": "989-729-4673",
            "fax_number": "989-725-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N SHIAWASSEE ST STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671632",
            "telephone_number": "989-729-4673",
            "fax_number": "989-725-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "ELAINE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704138357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC",
            "identifier": "4704138357",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.