GRACE OGLE MISHKIN CFNP CNM NPI 1538492095

NPI Information

  • NPI: 1538492095
  • Provider Name: GRACE OGLE MISHKIN, CFNP, CNM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5333 MCAULEY DR RM 2110
    YPSILANTI, MI
    ZIP 48197
  • Phone: (734) 712-3967

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NPI Details

Grace Ogle Mishkin, CFNP, CNM is a family nurse practitioner in Ypsilanti, MI with 10 years of experience. Grace Ogle Mishkin, CFNP, CNM NPI is 1538492095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

5333 MCAULEY DR RM 2110
YPSILANTI, MI
ZIP 48197-097
Phone: (734) 712-3967
Fax: (734) 712-2341

The NPI 1538492095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 4/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1176B00000XMidwifeC-APN.0001084-C-CNMCOLORADONo
2176B00000XMidwife4704252910MICHIGANNo
3363LF0000XNurse PractitionerFamilyC-APN.0000906-C-NPCOLORADONo
4363LF0000XNurse PractitionerFamily4704252910MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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