Individual provider Active NPI

Sharon Hurtado, NP-C

  • Nurse Practitioner
  • Brownstown, MI
National Provider Identifier
1063157022
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704204791 Issued in MI
Practice address
20896 Busenbark LN
Brownstown, MI 48183-7010
Phone
(734) 626-1216
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704204791 MI Primary

Addresses

Primary practice location

20896 Busenbark LN
Brownstown, MI 48183-7010

Mailing address

20896 Busenbark LN
Brownstown, MI 48183-7010

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
I20220511000128 MI Practitioner - Nurse Practitioner 5799162889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khalid Rao MD PCGroup PAC ID 8123104866, 2 clinicians
Michigan Sports and Spine Center PCGroup PAC ID 0749243467, 5 clinicians

Practice addresses (Care Compare)

100 W Big Beaver Rd
Suite 200
Troy, MI 48084-5283
Phone (888) 402-0202

18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 426-9944

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
85.89
Promoting interoperability
0
Improvement activities
40
Cost
66.9

Merit-based Incentive Payment System (MIPS)

Final score
23.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704204791MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Khalid Rao MD PC CurrentSince Jun 1, 2022 Accepting new patients
Advocates in Home Health Care PC CurrentSince Jun 1, 2025 Accepting new patients
Total Extended Care Services PC CurrentSince May 7, 2024 Accepting new patients
365 Health Care Group PLC CurrentSince Aug 1, 2024 Accepting new patients
Michigan Sports and Spine Center PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

400 Jeffrey St
Cedar Springs, MI 49319
Phone (616) 696-0170

22711 Grand River Ave
Ste 2000
Detroit, MI 48219

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

6950 Farmington Rd
West Bloomfield, MI 48322
Phone (248) 478-5645

Organizations & group practices 6

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1063157022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20896 BUSENBARK LN",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481837010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20896 BUSENBARK LN",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481837010",
            "telephone_number": "734-626-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "SHARON",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704204791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

Verify at the official NPI Registry.