JANICE LEE WYN (NPI# 1093198202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093198202 |
| Entity Type | Individual |
| Full Name | JANICE LEE WYN |
| Practice Address |
4313 Monroe Ave Portage MI 49002-2062 |
| Practice Telephone | 2695323281 |
| Mailing Telephone | 2695323281 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 0156818 | MI | Other Service Providers |
| Street Address |
4313 MONROE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926141 | Ashley Marie Cooper Hardy | Case Manager/Care Coordinator | 242 W Cook St, Portage, WI 53901-2106 | 2020-03-06 |
| 1801369509 | Lauren Elizabeth Henderson | Case Manager/Care Coordinator | 211 W Pleasant St, Portage, WI 53901-1744 | 2019-01-04 |
| 1013494376 | Ann E Heiligstedt | Case Manager/Care Coordinator | 1605 Adler Cir Ste A, Portage, IN 46368-6414 | 2018-07-19 |
| 1205334604 | Patrick Stephen Riley | Case Manager/Care Coordinator | 1800 Kutzke Rd Ste 107, Portage, WI 53901-9515 | 2018-01-31 |
| 1497301790 | Rachel Morris | Case Manager/Care Coordinator | 322 Dewitt St, Portage, WI 53901-2114 | 2019-08-13 |
| 1902458714 | Lateyneisha Kayshon Thompson | Case Manager/Care Coordinator | 1605 Adler Cir Ste A, Portage, IN 46368-6414 | 2019-07-11 |
| 1265094833 | Tikvah Rose Saidler | Case Manager/Care Coordinator | 211 W Pleasant St, Portage, WI 53901-1744 | 2019-07-03 |
| 1881171023 | Bill Tolbert | Case Manager/Care Coordinator | 1605 Adler Cir, Portage, IN 46368-6413 | 2018-07-20 |
| 1609353820 | Larissa Jane Hoyt | Case Manager/Care Coordinator | 1605 Adler Cir Ste A, Portage, IN 46368-6414 | 2018-07-20 |
| 1609361401 | Deanna Lynn Houck I | Case Manager/Care Coordinator | 322 Dewitt St, Portage, WI 53901-2114 | 2018-06-25 |
| Find all providers in PORTAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.