MRS. PATRICIA JURCICH (NPI# 1811935794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811935794 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA JURCICH |
| Credential | RN,MSN,FNP-C |
| Practice Address |
71 Bevier St Shelby MI 49455-1209 |
| Practice Telephone | 2318612187 |
| Practice Fax Number | 2318615100 |
| Mailing Telephone | 2318612187 |
| Mailing Fax Number | 2318615100 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704168095 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 4704168095 | 01 |
| Street Address |
71 BEVIER ST |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1184264327 | Daniel James Erickson | Physician Assistant | 71 Bevier St, Shelby, MI 49455-1209 | 2020-01-15 |
| 1982134482 | Christopher Charles Wagner | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2017-06-16 |
| 1083160246 | Melvin Michael Vallette | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2016-08-28 |
| 1174904429 | Melissa J Wiegand | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2015-06-12 |
| 1588080030 | Mercy Health Partners | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2014-03-07 |
| 1700201712 | Mercy Health Partners | Surgery | 71 Bevier St, Shelby, MI 49455-1209 | 2014-02-27 |
| 1093144123 | Ann Marie Nienhuis | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2013-11-08 |
| 1770863839 | Lakeshore Community Hospital Inc | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2011-08-22 |
| 1467732537 | Lakeshore Community Hospital, Inc. | Family Medicine | 71 Bevier St, Shelby, MI 49455-1239 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| 1891818985 | Lori Ann Kleinjans | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-06 |
| 1598806242 | Rebecca Lynn Smith | Pharmacy Technician | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-02-08 |
| 1518020585 | Hpcn | Family Medicine | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-12-19 |
| Find all providers in zip 49455 | ||||
| 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 |
|---|---|---|---|---|
| 1518523695 | Tabitha Dawn Hofer | Nurse Practitioner | 24 Morris Rd Ste 2, Shelby, OH 44875-1170 | 2019-05-14 |
| 1316416555 | Chakun Tiffany Mcdaniel | Nurse Practitioner | 1215 Charles Rd, Shelby, NC 28152-7029 | 2018-11-16 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1114184207 | Heike Hermine Arrowood | Nurse Practitioner | 307 Christopher Road, Shelby, NC 28152 | 2008-05-18 |
| 1598951915 | Duane A Kelley | Nurse Practitioner | 525 N State St, Shelby Adolescent Health Center, Shelby, MI 49455-8201 | 2007-09-19 |
| 1972717049 | Cynthia H Ebert | Nurse Practitioner | 222 North Lafayette Street, Suite 23, Shelby, NC 28150 | 2007-05-09 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1700483013 | Hayley Bowman | Nurse Practitioner | 200 S Post Rd, Shelby, NC 28152-6269 | 2020-10-08 |
| 1649898966 | Kimberly Jane Sinclair | Nurse Practitioner | 305 W College Ave, Shelby, NC 28152-8111 | 2020-07-13 |
| 1699309211 | Alexis C Hamilton | Nurse Practitioner | 808 Schenck St, Shelby, NC 28150-3934 | 2020-02-24 |
| Find all providers in SHELBY | ||||
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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.