Individual provider Active NPI

Karma Maxwell, NP

  • Adult Health Nurse Practitioner
  • Lake Orion, MI
National Provider Identifier
1083156087
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704260563 Issued in MI
Practice address
3812 High Grove Way
Lake Orion, MI 48360-1574
Phone
(248) 802-4719
NPI assigned
Nov 8, 2016
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704260563 MI Primary
Gerontology Nurse Practitioner 363LG0600X 4704260563 MI
Primary Care Nurse Practitioner 363LP2300X 4704260563 MI

Addresses

Primary practice location

3812 High Grove Way
Lake Orion, MI 48360-1574

Mailing address

3812 High Grove Way
Lake Orion, MI 48360-1574
Phone (248) 802-4719

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
I20170127000177 MI Practitioner - Nurse Practitioner 0042592024 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704260563MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Palliative & Hospice Care, LLC Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Apr 2, 2018 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Apr 2, 2018 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

32255 Northwestern Hwy
Ste 196
Farmington Hills, MI 48334
Phone (833) 660-0933

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

53960 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 323-1500

33259 Dequindre Rd
Ste C
Troy, MI 48083
Phone (248) 588-1885

Interoperability endpoints

  • Direct secure messaging: karmamaxwell@mhppalliativecare.directglo.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Michigan Palliative & Hospice Care LLCFarmington Hills, MI, CCN 231518 Hospice Corporate Officer
Corporate Director
W-2 Managing Employee
Nov 10, 2020
Nov 10, 2020
Nov 10, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1083156087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 HIGH GROVE WAY",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601574",
            "telephone_number": "248-802-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 HIGH GROVE WAY",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601574",
            "telephone_number": "248-802-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KARMA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704260563",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704260563",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704260563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.