Active NPI
Melissa D Furlette-Koski
- Advanced Practice Midwife
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704379933
- Practice address
- 4200 Whitehall Dr Ste 350
Ann Arbor, MI 48105-9694 - Phone
- (734) 572-9600
- Fax
- (734) 572-0616
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704379933 | MI | Primary |
| Advanced Practice Midwife | 367A00000X | 209016132 | IL |
Addresses
Primary practice location
4200 Whitehall Dr Ste 350
Ann Arbor, MI 48105-9694
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
Other names 1
- Melissa D Furlette
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016132 | IL | MD | Advanced Practice Midwife |
| 4704379933 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Health | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Center for Family Health | Current | Accepting new patients |
Locations
4200 Whitehall Dr
Ste 350
Ann Arbor, MI 48105
Phone (734) 572-9600
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
505 N Jackson St
Jackson, MI 49201
Phone (517) 748-5500
990 W Ann Arbor Trl
Ste 302
Plymouth, MI 48170
Phone (734) 414-1090
4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500
Interoperability endpoints
- mfurlettekoski946134@direct.hfhs.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1780784439
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Federally Qualified Health Center (FQHC)
- Jackson, MI
- NPI 1710764410
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1124425285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1023531225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WHITEHALL DR STE 350",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059694",
"telephone_number": "734-572-9600",
"fax_number": "734-572-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURLETTE-KOSKI",
"first_name": "MELISSA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704379933",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209016132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "FURLETTE",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.