Claudia J Fall, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704390777 Issued in MI

Practice address

12500 Sheridan Rd
Manchester, MI 48158-8601

Phone

(517) 552-2222

NPI assigned

Oct 25, 2025

Last updated

Nov 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fall Bloom, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MI
  • NPI 1750242723

  Single Specialty

  NPD Authorized official
• Fall Bloom, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MI
  • NPI 1760342380

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1013885714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 SHERIDAN RD",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481588601",
            "telephone_number": "517-552-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 SHERIDAN RD",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481588601",
            "telephone_number": "517-552-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALL",
        "first_name": "CLAUDIA",
        "middle_name": "J",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704390777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan R Currey, D.D.S.
• Jay Michael Demski, PHARM.D.
• Miranda Eberle, DDS
• Evelyn Eccles, MD
• Evelyn Eccles, MD
• Brooke Fuller, AT, ATC
• Great Lakes Bay Health Centers
• Debra Hauser, PT
• Gary V Haynes, PA
• Healthy Smiles Dental Care LLC

• Psychiatric/Mental Health Nurse Practitioner in Manchester, MI
• Providers in Manchester, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; 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.

Verify at the official NPI Registry.