Individual provider Active NPI

Michelle Camarata-Stress, NP-C

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1023789740
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704290628 Issued in MI
Practice address
660 Woodward Ave Ste 2430
Detroit, MI 48226-3502
Phone
(313) 457-9355
Fax
(313) 447-2444
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 4704290628 MI Primary

Addresses

Primary practice location

660 Woodward Ave Ste 2430
Detroit, MI 48226-3502

Mailing address

28415 Alger Blvd
Madison Heights, MI 48071-4560
Phone (586) 883-2628

Other practice location 1

116 S Main St
Clawson, MI 48017-2063
Phone (248) 800-6629

Other names 1

  • Michelle Camarata Former name

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
I20240712001851 MI Practitioner - Nurse Practitioner 7113462276 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince May 28, 2024 Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

Organizations & group practices 1

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1023789740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28415 ALGER BLVD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714560",
            "telephone_number": "586-883-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WOODWARD AVE STE 2430",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263502",
            "telephone_number": "313-457-9355",
            "fax_number": "313-447-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S Main St",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480172063",
            "country_code": "US",
            "telephone_number": "248-800-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARATA-STRESS",
        "first_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704290628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CAMARATA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.