Active NPI
Anne Marie McKune, NP
- Nurse Practitioner
- Jackson, MI
National Provider Identifier
1982652483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704152445
- Practice address
- 813 E Michigan Ave
Jackson, MI 49201-2401 - Phone
- (517) 787-6001
- Fax
- (517) 782-2062
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704152445 | MI | Primary |
Addresses
Primary practice location
813 E Michigan Ave
Jackson, MI 49201-2401
Mailing address
Department 272801
PO Box 67000
Detroit, MI 48267-0001
Phone (517) 841-6913
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500024273 | Other | MI | RR MEDICARE |
| 4394905 | Medicaid | MI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amckune455911@directhfhs.org | ||
| Direct Messaging Address | amckune455911@directhfhs.org | ||
| Direct Messaging Address | amckune455911@directhfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Pathology | Current | Accepting new patients |
Locations
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1982652483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 272801",
"address_2": "PO BOX 67000",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670001",
"telephone_number": "517-841-6913",
"fax_number": "517-841-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 E MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012401",
"telephone_number": "517-787-6001",
"fax_number": "517-782-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKUNE",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704152445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500024273",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4394905",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amckune455911@directhfhs.org",
"affiliation": "N",
"address_1": "1 S Jackson Sq Ste 102",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492012383",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amckune455911@directhfhs.org",
"affiliation": "N",
"address_1": "1 S Jackson Sq Ste 102",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492012383",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amckune455911@directhfhs.org",
"affiliation": "N",
"address_1": "1 S Jackson Sq Ste 102",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492012383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.