Individual provider Active NPI

Billy Weitherspoon

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1013398155
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704237213NSA2504F Issued in MI
Practice address
1423 Field St
Detroit, MI 48214-2321
Phone
(313) 924-7860
NPI assigned
Jun 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704237213 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704237213NSA2504F MI Primary

Addresses

Primary practice location

1423 Field St
Detroit, MI 48214-2321

Mailing address

1423 Field St
Detroit, MI 48214-2321
Phone (313) 924-7860

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918002429 MI Practitioner - Nurse Practitioner 8123522513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Well-Being ServicesGroup PAC ID 9133010176, 11 clinicians

Practice addresses (Care Compare)

1413 Field St
Detroit, MI 48214-2321
Phone (313) 347-2070

1423 Field St
Detroit, MI 48214-2321
Phone (313) 924-7860

30555 Michigan Ave
Westland, MI 48186-5310
Phone (734) 595-3640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704237213NSA2504FMIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Well Being Services CurrentSince Jul 4, 2025 Accepting new patients
All Well-Being Services CurrentSince Jul 4, 2025 Accepting new patients

Locations

1413 Field St
Detroit, MI 48214
Phone (313) 347-2070

1423 Field St
Detroit, MI 48214
Phone (313) 347-2070

30555 Michigan Ave
Westland, MI 48186
Phone (734) 595-3640

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1013398155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 FIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142321",
            "telephone_number": "313-924-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 FIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142321",
            "telephone_number": "313-924-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITHERSPOON",
        "first_name": "BILLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704237213",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704237213NSA2504F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.