Active NPI
Rana Issa, DNP, RN, FNP-BC
- Family Nurse Practitioner
- Roseville, MI
National Provider Identifier
1003584905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704359514
- Practice address
- 25710 Kelly Rd Ste 1
Roseville, MI 48066-4959 - Phone
- (586) 772-2600
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704359514 | MI | Primary |
Addresses
Primary practice location
25710 Kelly Rd Ste 1
Roseville, MI 48066-4959
Mailing address
35619 Durrell CT
New Baltimore, MI 48047-1092
Phone (586) 612-0623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250207002921 | MI | Practitioner - Nurse Practitioner | 2668902420 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kidney Consultants of Michigan PC
Practice addresses (Care Compare)
25710 Kelly Rd
Suite 1
Roseville, MI 48066-4959
Phone (586) 772-2600
Hospital & facility affiliations
- Beaumont Hospital - Grosse Pointe
- Henry Ford Macomb Hospital
- Beaumont Hospital Royal Oak
- Henry Ford Health Warren Hospital
- Beaumont Hospital, Troy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704359514 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Consultants of Michigan PC | Current | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Locations
16815 E Jefferson Ave
Ste 290
Grosse Pointe, MI 48230
Phone (586) 772-2600
25710 Kelly Rd
Ste 1
Roseville, MI 48066
Phone (586) 772-2600
Interoperability endpoints
- rissa1060854@direct.hfhs.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
- Community/Retail Pharmacy
- New Baltimore, MI
- NPI 1922117407
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
Hospital
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
Hospital
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Hospital
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1003584905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35619 DURRELL CT",
"city": "NEW BALTIMORE",
"state": "MI",
"postal_code": "480471092",
"telephone_number": "586-612-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25710 KELLY RD STE 1",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480664959",
"telephone_number": "586-772-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSA",
"first_name": "RANA",
"name_prefix": "Ms.",
"credential": "DNP, RN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2024-10-29",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704359514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.