MRS. KELCIE ANN WAACK FNP
NPI 1730762246
Internal Medicine in Southgate, MI

NPI Status: Active since May 03, 2021

Contact Information

3 HERITAGE CENTER
SOUTHGATE, MI
ZIP 48195
Phone: (734) 283-3222
Fax: (734) 283-4006

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  • Individual
  • Female
  • Internal Medicine

About KELCIE WAACK

This page provides the complete NPI Profile along with additional information for Kelcie Waack, an internist established in Southgate, Michigan with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1730762246 assigned on May 2021. The practitioner's primary taxonomy code is 207R00000X with license number 4704333571 (MI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1730762246
Provider Name
MRS. KELCIE ANN WAACK FNP
Gender
Female
Entity Type
Individual
Location Address
3 HERITAGE CENTER SOUTHGATE, MI 48195
Location Phone
(734) 283-3222
Location Fax
(734) 283-4006
Mailing Address
19169 HANNAN RD NEW BOSTON, MI 48164
Mailing Phone
(313) 605-3418
Is Sole Proprietor?
No
Enumeration Date
05-03-2021
Last Update Date
12-08-2023
Code Navigator

An internist like Kelcie Waack is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
4704333571
License State
MI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F04210455MEDICAID (05)MI 

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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.
1730762246
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760146428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 4 + 6 + 4 + 2 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1730762246 is valid because the calculated check digit 6 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.

SOUTHGATE MEDICAL GROUP, PLLC

Internal Medicine

3 HERITAGE CENTER
SUITE 1
SOUTHGATE, MI
ZIP 48195

(734) 283-3222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730762246, enumerated as an "individual" on May 03, 2021.

The provider is located at 3 HERITAGE CENTER SOUTHGATE, MI 48195 and the phone number is (734) 283-3222.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.