Individual provider Active NPI

Denise W Carethers, NURSE PRACTITIONER

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1083804397
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP 8213 Issued in CA
Practice address
2578 Timber Hill Dr
Ann Arbor, MI 48103-2179
Phone
(858) 663-9101
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 NP 8213 CA Primary

Addresses

Primary practice location

2578 Timber Hill Dr
Ann Arbor, MI 48103-2179

Mailing address

2578 Timber Hill Dr
Ann Arbor, MI 48103-2179
Phone (858) 663-9101

Other practice location 1

4290 Polk Avenue
San Diego, CA 92105-1524
Phone (619) 563-0507

Other names 1

  • Denise A Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 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
I20210506000945 MI Practitioner - Nurse Practitioner 2062505621 Reassigns benefits to 1 organization
I20241209002188 TX Practitioner - Nurse Practitioner 2062505621 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 8213CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus Nurse Practitioner CurrentSince Feb 18, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1083804397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 TIMBER HILL DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032179",
            "telephone_number": "858-663-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 TIMBER HILL DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032179",
            "telephone_number": "858-663-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4290 Polk Avenue",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921051524",
            "country_code": "US",
            "telephone_number": "619-563-0507",
            "fax_number": "619-563-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARETHERS",
        "first_name": "DENISE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 8213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "WRIGHT",
            "middle_name": "A",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.