Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750438214 Individual Practitioner Female Practitioner

Holly Husted , NP

Nurse Practitioner • Bangor, MI

Professional Overview & Biography Verified Profile Summary

Holly Husted, NP is a registered healthcare professional specializing in Nurse Practitioner in Bangor, MI. Practice services are available at 803 W ARLINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

803 W Arlington St

Bangor, MI 490131108

Telephone 2694276810
Fax 2696576523
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bangor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Bangor, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704199043

(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.

Nurse Practitioner - Women's Health

NUCC Taxonomy Code: 363LW0102X

State License MI 4704199043

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1750438214 (MI)
Commercial Insurance / Payer ID Bcbsm - Bmg
1801818752 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Stacy Lamontagna , NP

Nurse Practitioner - Family

NPI 1003323775

Nurse Practitioner

Alexis Kelly , OTR-L

Occupational Therapist

NPI 1033511860

Occupational Therapist Registered & Licensed

Katherine Radakovich , FNP-BC

Nurse Practitioner - Family

NPI 1043330798

Family Nurse Practitioner (Board Certified)

Georgette Peterson

Licensed Practical Nurse

NPI 1053738781
Kellie Holm , LMSW

Social Worker - Clinical

NPI 1083960488

Licensed Master Social Worker

Mary Schuman

Social Worker

NPI 1134556830

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 12, 2019

Registered at 803 W ARLINGTON ST, BANGOR, MI 490131108 (Tel: 2694276810)

📍
Updated Business Mailing Address March 12, 2019

Registered at 801 HAZEN ST STE C, PAW PAW, MI 490792008 (Tel: 2696553334)

NPI Profile Active July 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2015

Registered at 9222 ALMENA DR, KALAMAZOO, MI 490099311 (Tel: 2697600401)

📍
Updated Business Mailing Address July 15, 2015

Registered at 2725 AIRVIEW BLVD, #105, PORTAGE, MI 49002

👤
Provider Name / Credentials Updated July 15, 2015

Recorded as HOLLY HUSTED, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2015

Nurse Practitioner (License #4704199043 in MI)

🟢
Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750438214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: March 12, 2019
Sole Proprietor: No

Mailing Address

801 Hazen St Ste C

Paw Paw, MI 490792008

Phone: 2696553334

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.