JODIE RISNES (NPI# 1760811392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760811392 |
| Entity Type | Individual |
| Full Name | JODIE RISNES |
| Practice Address |
4000 Wellness Dr Midland MI 48670-0001 |
| Practice Telephone | 9898391644 |
| Mailing Telephone | 9898391644 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704276448 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4000 WELLNESS DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663207 | Darcey G Cox | Anesthesiology | 4000 Wellness Dr, Midland, MI 48670-2000 | 2005-07-15 |
| 1396345575 | Graceson Caroline Kerr | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-10-28 |
| 1245840560 | Dorothy Wong | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-08-01 |
| 1861002206 | Logan Amanda Steffke | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1598375941 | Jonathon Skurya | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1063021673 | Jenna Ann Randolph | Speech-Language Pathologist | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-29 |
| 1134738099 | Natalie Hamilton | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-5024 | 2020-07-27 |
| 1306455266 | Lauren Stull | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-27 |
| 1043828353 | Shing Chao | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| 1477161784 | Jordan Killingsworth | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1265074991 | Kevin Gerard Przybylski | Pharmacist | 4000 Wellness Drive Inpatient Pharmacy, Midland, MI 48670-0001 | 2019-10-15 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1760569958 | Ximena Elizabeth Gumpel | Physician Assistant | Radiation Oncology, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-11-01 |
| 1326158072 | David Eric Newcomb II | Emergency Medicine | Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-08-30 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250183 | Ashley Nicole Gonzales | Nurse Practitioner | 2200 W Wadley Ave Ste 10, Midland, TX 79705-6405 | 2020-06-17 |
| 1700408242 | Tammy Elizabeth Chambers | Nurse Practitioner | 2660 W Sugnet Rd, Midland, MI 48640-2647 | 2020-05-07 |
| 1881173151 | Mh Health Care Services, PC | Nurse Practitioner | 413 Veterans Airpark Lane, Suite 1,400, Midland, TX 79705 | 2018-08-08 |
| 1720590128 | Jane Brines | Nurse Practitioner | 5310 Perrine Rd, Midland, MI 48640-3111 | 2017-10-25 |
| 1447788658 | Alison Marie Funka | Nurse Practitioner | 4320 Campus Ridge Dr, Midland, MI 48640-6104 | 2017-06-01 |
| 1528519956 | Maria Horton | Nurse Practitioner | 4503 Hancock Dr, Midland, MI 48642-5893 | 2016-10-20 |
| 1326215609 | Greg Womack Holmes | Nurse Practitioner | 5515 Rio Grande Ave, Midland, TX 79707-9701 | 2008-05-14 |
| 1003970856 | Lisa Lynette Miller | Nurse Practitioner | 4201 Campus Ridge Dr Ste 4000, Midland, MI 48640 | 2006-12-19 |
| 1528168242 | Jean M Thiele | Nurse Practitioner | 2121 Rockwell Dr, Midland, MI 48642-9316 | 2006-09-23 |
| 1265413835 | Laura Ann Cralle | Nurse Practitioner | 801 E Florida Ave, Midland, TX 79701-8212 | 2005-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.