ELEVATE MEDICAL AESTHETICS AND WELLNESS
NPI 1609552173
Nurse Practitioner in Petoskey, MI

NPI Status: Active since June 27, 2023

Contact Information

413 HOWARD ST
PETOSKEY, MI
ZIP 49770
Phone: (231) 622-8103
Fax: (949) 695-2102

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  • Organization
  • Nurse Practitioner

About ELEVATE MEDICAL AESTHETICS AND WELLNESS

This page provides the complete NPI Profile along with additional information for Elevate Medical Aesthetics And Wellness, a provider established in Petoskey, Michigan operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1609552173 assigned on June 2023. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Elevate Medical Aesthetics And Wellness operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Martha Jean Goetz Fnp (Owner)

NPI
1609552173
Provider Name
ELEVATE MEDICAL AESTHETICS AND WELLNESS
Entity Type
Organization
Location Address
413 HOWARD ST PETOSKEY, MI 49770
Location Phone
(231) 622-8103
Location Fax
(949) 695-2102
Mailing Address
413 HOWARD ST PETOSKEY, MI 49770
Mailing Fax
(949) 695-2102
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2023
Last Update Date
11-20-2023
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A nurse practitioner (NP) like Elevate Medical Aesthetics And Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARTHA JEAN GOETZ FNP

Authorized Official Title
OWNER
Authorized Official Phone
(231) 622-8103

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609552173
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091054114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 0 + 5 + 4 + 1 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1609552173 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MS. MARTHA JEAN GOETZ FNP

Nurse Practitioner

413 HOWARD ST
PETOSKEY, MI
ZIP 49770

(231) 261-1843

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609552173, enumerated in the NPI registry as an "organization" on June 27, 2023

The provider is located at 413 Howard St Petoskey, Mi 49770 and the phone number is (231) 622-8103

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on June 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.