Individual provider Active NPI

Christina Ploeger, DNP, FNP-BC

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1104641620
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704322488 Issued in MI
Practice address
26901 Beaumont Blvd
Southfield, MI 48033-3849
Phone
(248) 898-5000
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704322488 MI Primary

Addresses

Primary practice location

26901 Beaumont Blvd
Southfield, MI 48033-3849

Mailing address

932 Bonhomme CT
Port Huron, MI 48060-2108

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
I20250320001430 MI Practitioner - Nurse Practitioner 1254853153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

23852 Michigan Ave
Dearborn, MI 48124-1829

4800 S Saginaw St
Flint, MI 48507-2677

5111 Auto Club Dr
Dearborn, MI 48126-2749
Phone 8102759333116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704322488MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Allergy PLLC CurrentSince Jun 9, 2025 Accepting new patients
Jawad a Shah MD PC CurrentSince Mar 10, 2025 Accepting new patients
Jawad a Shah, MD PC CurrentSince Mar 10, 2025 Accepting new patients
Jawad a Shah MD PC Past Accepting new patients

Locations

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

575 Court St
Ste 3
West Branch, MI 48661
Phone (989) 701-2159

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1104641620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 BONHOMME CT",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "248-898-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOEGER",
        "first_name": "CHRISTINA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704322488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.