Northridge Family Practice LLC
NPI 1891712493 · Nurse Practitioner · Hale, MI
Northridge Family Practice LLC is a Nurse Practitioner organization in Hale, MI (NPI 1891712493).
Provider details
- NPI number
- 1891712493
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Debra Provoast, Managing Officer(989) 728-6000
- License
- 4301061417 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2015-11-02
Frequently asked questions
- What is Northridge Family Practice LLC's NPI number?
- Northridge Family Practice LLC's National Provider Identifier (NPI) is 1891712493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northridge Family Practice LLC?
- Northridge Family Practice LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Northridge Family Practice LLC located?
- Northridge Family Practice LLC's practice location on file with NPPES is 3190 Northridge Drive, Hale, MI 48739-9276.
- What is Northridge Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Northridge Family Practice LLC is (989) 728-6000.
- Who is the authorized official for Northridge Family Practice LLC?
- The authorized official listed on Northridge Family Practice LLC's NPPES record is Debra Provoast, Managing Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northridge Family Practice LLC's NPI active?
- Yes — Northridge Family Practice LLC's NPI (1891712493) is active in the NPPES registry as of the last update on 2015-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.