Individual provider Active NPI

Cliff R. Ferreira

  • Nurse Practitioner
  • Monroe, MI
National Provider Identifier
1104352319
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704261947 Issued in MI
Practice address
214 E Elm Ave Ste 101
Monroe, MI 48162-2678
Phone
(734) 243-9620
Fax
(734) 243-3565
NPI assigned
May 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 4704261947 MI Primary

Addresses

Primary practice location

214 E Elm Ave Ste 101
Monroe, MI 48162-2678

Mailing address

214 E Elm Ave Ste 101
Monroe, MI 48162-2678

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cferreira115626@epicdirect.promedica.org

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
I20170530000138 MI Practitioner - Nurse Practitioner 5193092906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Genito-Urinary Surgeons LLCGroup PAC ID 3971757238, 19 clinicians

Practice addresses (Care Compare)

905 N Macomb St
5 Promedica Genito Urinary LLC
Monroe, MI 48161-3076
Phone (734) 243-9620

Hospital & facility affiliations

  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704261947MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Genito-Urinary Surgeons LLC Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Genito Urinary Surgeons, Inc Past Accepting new patients

Locations

905 N Macomb St
Ste 5
Monroe, MI 48162
Phone (734) 243-9620

214 E Elm Ave
Ste 101
Monroe, MI 48162
Phone (734) 243-9620

Interoperability endpoints

  • Direct secure messaging: cferreira115626@direct.promedica.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 4

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": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1104352319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E ELM AVE STE 101",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E ELM AVE STE 101",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622678",
            "telephone_number": "734-243-9620",
            "fax_number": "734-243-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "CLIFF",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-08",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704261947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cferreira115626@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "214 E Elm Ave Ste 101",
            "city": "Monroe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481622678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.