| Northview Health Specialists, Pllc | |
|
1765 3 Mile Rd Ne Unit 150319 Grand Rapids MI 49515-5014 | |
| (616) 272-3533 | |
| (616) 259-4839 |
| Full Name | Northview Health Specialists, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1765 3 Mile Rd Ne Unit 150319, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jeremiah Dewitt (OWNER) |
| Authorized Official Contact | 6168892812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northview Health Specialists, Pllc 1765 3 Mile Rd Ne Unit 150319 Grand Rapids MI 49515-5014 Ph: (616) 272-3533 | Northview Health Specialists, Pllc 1765 3 Mile Rd Ne Unit 150319 Grand Rapids MI 49515-5014 Ph: (616) 272-3533 |
| NPI Number | 1629558978 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 07/30/2019 |
| Medicare PECOS PAC ID | 9638422835 |
|---|---|
| Medicare Enrollment ID | O20181105000977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629558978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary C Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801888938 PECOS PAC ID: 2961436969 Enrollment ID: I20050920000422 |
| Provider Name | Suzanne M Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508891995 PECOS PAC ID: 3476556838 Enrollment ID: I20060824000506 |
| Provider Name | Raymond F Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376599274 PECOS PAC ID: 0840102588 Enrollment ID: I20100116000421 |
| Provider Name | Nicholas Maximillian Kielhorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821240128 PECOS PAC ID: 0244425403 Enrollment ID: I20101112000893 |
| Provider Name | Renee M Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891001681 PECOS PAC ID: 6204018757 Enrollment ID: I20110304000708 |
| Provider Name | Elaine C Philipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912237934 PECOS PAC ID: 9436327178 Enrollment ID: I20110722000441 |
| Provider Name | Shelliann M Endline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275682437 PECOS PAC ID: 7911161021 Enrollment ID: I20120620000695 |
| Provider Name | Codi M Schrauben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801131644 PECOS PAC ID: 3870746266 Enrollment ID: I20130115000416 |
| Provider Name | Jennifer A Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942649686 PECOS PAC ID: 1658597992 Enrollment ID: I20140723001273 |
| Provider Name | Marcy Binford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479498 PECOS PAC ID: 9638399876 Enrollment ID: I20141009002235 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649657164 PECOS PAC ID: 4385955640 Enrollment ID: I20150612002231 |
| Provider Name | Julia A Barrons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281397 PECOS PAC ID: 3779898226 Enrollment ID: I20150813009883 |
| Provider Name | Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922476373 PECOS PAC ID: 9537476114 Enrollment ID: I20150915000307 |
| Provider Name | Jeremy R Herr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164731535 PECOS PAC ID: 2163602863 Enrollment ID: I20151016000074 |
| Provider Name | Amelia Emilee Albachten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093169302 PECOS PAC ID: 0244521409 Enrollment ID: I20160617000583 |
| Provider Name | Caitlin M Aumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699140475 PECOS PAC ID: 9537454459 Enrollment ID: I20160817000272 |
| Provider Name | Tammy Milbocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790209161 PECOS PAC ID: 0244506285 Enrollment ID: I20171019001034 |
| Provider Name | Kaitlyn Suzanne Troutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544230 PECOS PAC ID: 5092070128 Enrollment ID: I20180521000964 |
| Provider Name | Karen M Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699338079 PECOS PAC ID: 5799117743 Enrollment ID: I20191113003034 |
| Provider Name | Matthew Samuels Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730719139 PECOS PAC ID: 1759719735 Enrollment ID: I20200325003115 |
| Provider Name | Carrie L Kovolski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194366195 PECOS PAC ID: 9931538196 Enrollment ID: I20200409000829 |
| Provider Name | Stephanie Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396371134 PECOS PAC ID: 2264410901 Enrollment ID: I20200509000149 |
| Provider Name | Brittany J Devries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104429851 PECOS PAC ID: 2264846765 Enrollment ID: I20210125000881 |
| Provider Name | Karen J Goehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689271272 PECOS PAC ID: 6709291362 Enrollment ID: I20210212002160 |
| Provider Name | Rachel Seavolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154099828 PECOS PAC ID: 5294131025 Enrollment ID: I20210902001712 |
| Provider Name | Chelsea Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578195681 PECOS PAC ID: 5294127387 Enrollment ID: I20220124000299 |
| Provider Name | Angela Coplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295482743 PECOS PAC ID: 0446630198 Enrollment ID: I20220712001384 |
| Provider Name | Jeffrey S Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548855901 PECOS PAC ID: 0840696969 Enrollment ID: I20230120000542 |
| Provider Name | Melanie Veach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437850427 PECOS PAC ID: 1951766161 Enrollment ID: I20230421002486 |
| Provider Name | Marion Sarjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881305936 PECOS PAC ID: 4981069713 Enrollment ID: I20230501002792 |
| Provider Name | Sara Fragale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831889914 PECOS PAC ID: 3577920768 Enrollment ID: I20230602001136 |
| Provider Name | Mason Witte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770283988 PECOS PAC ID: 6406206853 Enrollment ID: I20231227001141 |
| Provider Name | Rebecca Baker Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679089759 PECOS PAC ID: 8628337763 Enrollment ID: I20240228003448 |
| Provider Name | Heather Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215799176 PECOS PAC ID: 4385880541 Enrollment ID: I20240306003705 |
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