Individual provider Active NPI

Nicole Kremer

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1043663743
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704294456 Issued in MI
Practice address
4200 Whitehall Dr Ste 150
Ann Arbor, MI 48105-9694
Phone
(734) 995-0308
Fax
(734) 995-0425
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Affiliated Physicians, Inc. 452 clinicians

Practice addresses (Care Compare)

3000 Rogers Rd
Suite 100
Wake Forest, NC 27587-3800
Phone (919) 385-1601

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160804000568 MI Practitioner - Nurse Practitioner 2466746052 Reassigns benefits to 1 organization
I20200910000073 NC Practitioner - Nurse Practitioner 2466746052 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704294456MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince May 11, 2020 Accepting new patients
Iha Health Services Corporation CurrentSince Dec 1, 2017 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince May 11, 2020 Accepting new patients
Iha Health Service Corporation CurrentSince Dec 1, 2017 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Private Diagnostic Clinic, PLLC Family Medicine PastSince May 11, 2020 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Healthy Urgent Care Family Medicine Past Accepting new patients

Locations

4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: nkremer456357@direct.medicine.duke.edu

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704294456 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

4200 Whitehall Dr Ste 150
Ann Arbor, MI 48105-9694

Mailing address

PO Box 446
Ann Arbor, MI 48106-0446
Phone (734) 747-6766

Other practice location 1

7125 Orchard Lake Rd
Suite 100
W Bloomfield, MI 48322-3615
Phone (248) 865-7481 ext. 2

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2018.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1043663743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481060446",
            "telephone_number": "734-747-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WHITEHALL DR STE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059694",
            "telephone_number": "734-995-0308",
            "fax_number": "734-995-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7125 Orchard Lake Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "W Bloomfield",
            "state": "MI",
            "postal_code": "483223615",
            "country_code": "US",
            "telephone_number": "248-865-7481 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMER",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704294456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.