| Kristen Mix, DNP, AGACNP | |
|
15855 19 Mile Rd, Clinton Township, MI 48038-3504 | |
| (586) 263-2300 | |
| Not Available |
| Full Name | Kristen Mix |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 15855 19 Mile Rd, Clinton Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487256426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 4704285817 (Michigan) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 4704285817 (Michigan) | Primary |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651 |
| Entity Name | Pioneer Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093296592 PECOS PAC ID: 2860743309 Enrollment ID: O20180924001024 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Mix, DNP, AGACNP 950 Sherry Dr, Lake Orion, MI 48362-2870 Ph: () - | Kristen Mix, DNP, AGACNP 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2300 |
Emily Begian, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43361 Commons Dr, Clinton Township, MI 48038 Phone: 586-745-3006 Fax: 586-935-3762 | |
Mrs. Michelle Carol Brogdon, RN, MSN, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16151 19 Mile Rd Ste 120, Clinton Township, MI 48038 Phone: 586-263-2222 | |
Dr. Esther Casinelli Sikorski, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35200 Little Mack Ave, Clinton Township, MI 48035 Phone: 586-790-4096 Fax: 586-790-4364 | |
Sara Cormendy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2075 | |
Judy Haefner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38242 Sarnette St, Clinton Township, MI 48036 Phone: 586-954-9042 | |
Mrs. Dana Marie Wenner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2788 Fax: 586-263-2577 | |
Melissa Marie Morrison, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 |