Individual provider Active NPI

Linda D Norrell, MD

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1063514727
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301044844 Issued in MI
Practice address
1515 W Atherton Rd
Flint, MI 48507-5300
Phone
(810) 238-1771
Fax
(810) 232-9134
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301044844 MI Primary

Addresses

Primary practice location

1515 W Atherton Rd
Flint, MI 48507-5300

Mailing address

1515 W Atherton Rd
Flint, MI 48507-5300
Phone (810) 238-1771

Other identifiers 1

IdentifierTypeStateIssuer
3236080MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000743 MI Practitioner - Family Practice 8820992597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 W Atherton Rd
Flint, MI 48507-5300
Phone (810) 238-1771

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Grand Blanc, MI, CCN 237073
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Linda D. Norrell M.D., PLLC Family Medicine CurrentSince Oct 23, 2018 Accepting new patients
Genesys Pho LLC CurrentSince Jun 12, 2018 Accepting new patients

Locations

307 E Court St
Flint, MI 48502
Phone (810) 341-7370

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

1515 W Atherton Rd
Flint, MI 48507
Phone (810) 232-5189

Interoperability endpoints

  • Direct secure messaging: lnorrell1143116@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1063514727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W ATHERTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075300",
            "telephone_number": "810-238-1771",
            "fax_number": "810-232-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W ATHERTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075300",
            "telephone_number": "810-238-1771",
            "fax_number": "810-232-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRELL",
        "first_name": "LINDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3236080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.