Individual provider Active NPI

Rana Mazraani

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1013527167
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704317814 Issued in MI
Practice address
15400 Michigan Ave
Dearborn, MI 48126-3491
Phone
(313) 584-3359
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704317814 MI Primary

Addresses

Primary practice location

15400 Michigan Ave
Dearborn, MI 48126-3491

Mailing address

23615 Hollander St
Dearborn, MI 48128-1209
Phone (313) 903-8165

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
I20201211000762 MI Practitioner - Nurse Practitioner 3072925254 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704317814MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Medical Group PLLC CurrentSince Oct 9, 2020 Accepting new patients
Providers Tek Inc. CurrentSince Apr 2, 2024 Accepting new patients
Riverview Neuromuscular Pain Center PLLC Past Accepting new patients

Locations

4700 Greenfield Rd
Ste 2E
Dearborn, MI 48126
Phone (313) 740-1111

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1013527167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23615 HOLLANDER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281209",
            "telephone_number": "313-903-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263491",
            "telephone_number": "313-584-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZRAANI",
        "first_name": "RANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.