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Deactivated NPI 1003285859 Deactivated / Inactive NPI Female Practitioner

Justine Schrader

Nurse Practitioner - Primary Care • Port Huron, MI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Justine Schrader has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 23, 2015
NPI Deactivation Date February 06, 2018
Total Practice Duration ~3 Years of Practice (2015 – 2018)

Professional Overview & Biography Verified Profile Summary

Justine Schrader was a registered Nurse Practitioner - Primary Care practicing in Port Huron, MI. Throughout an active medical career spanning 3 years, Justine Schrader provided care at the practice location at 1979 HOLLAND AVE until profile deactivation on 2018-02-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, hemoglobin a1c level, blood glucose (sugar) test performed by hand-held instrument. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1979 Holland Ave

Port Huron, MI 480608639

Telephone 8109821200
Associated Practice Facility / Clinic
🏢 Port Huron Family Care Pllc Facility NPI 1518118470

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 8.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Port Huron, MI (429 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
74 49 $100.00 $57.57

Medical Specialties & State Licenses

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License MI 4704278975

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MI 4704278975

(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.

Clinical Nurse Specialist - Adult Health

NUCC Taxonomy Code: 364SA2200X

State License MI 4704278975

Definition to come...

Clinical Nurse Specialist - Gerontology

NUCC Taxonomy Code: 364SG0600X

State License MI 4704278975

Definition to come...

Clinical Nurse Specialist - Perioperative

NUCC Taxonomy Code: 364SP2800X

State License MI 4704278975

Definition to come...

Secondary Practice Locations

5500 Armstrong Rd

Battle Creek, MI 490377314

Phone: 2699665600

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Douglas Krause , MD

Family Medicine - Geriatric Medicine

NPI 1275519183

Doctor of Medicine (M.D.)

Racheal Jamison

Nurse Practitioner - Family

NPI 1619633625
Dr. Jun Garcia , MD

Family Medicine

NPI 1750356325

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
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Updated Practice Location March 17, 2018

Registered at 1979 HOLLAND AVE, PORT HURON, MI 480608639 (Tel: 8109821200)

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Updated Business Mailing Address March 17, 2018

Registered at 7244 2ND ST, LAKEPORT, MI 480591903

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Provider Name / Credentials Updated March 17, 2018

Recorded as JUSTINE SCHRADER

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #4704278975 in MI)

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Updated Practice Location March 01, 2018

Registered at 1979 HOLLAND AVE, PORT HURON, MI 480608639 (Tel: 8109821200)

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NPI Profile Reactivated February 23, 2018

Record officially reactivated for active practice on February 23, 2018

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NPI Profile Deactivated February 06, 2018

Record deactivated on February 06, 2018

NPI Profile Active September 23, 2015

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2015

Registered at 5500 ARMSTRONG RD, BATTLE CREEK, MI 490377314 (Tel: 2699665600)

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Updated Business Mailing Address September 23, 2015

Registered at 7244 2ND ST, LAKEPORT, MI 480591903

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Provider Name / Credentials Updated September 23, 2015

Recorded as JUSTINE SCHRADER

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2015

Nurse Practitioner (License #4704278975 in MI)

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Initial NPI Registration & Enumeration September 23, 2015

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: 1003285859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2015
Last Update: March 17, 2018
Deactivation Date: February 06, 2018
Sole Proprietor: Yes

Mailing Address

7244 2nd St

Lakeport, MI 480591903

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.