Individual provider Active NPI

Michele Dawn McMahon, ACNP-BC

  • Acute Care Nurse Practitioner
  • Warren, MI
National Provider Identifier
1114256302
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704239272 Issued in MI
Practice address
32060 Linderman Ave
Warren, MI 48093-1048
Phone
(248) 763-0911
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704239272 MI Primary

Addresses

Primary practice location

32060 Linderman Ave
Warren, MI 48093-1048

Mailing address

32060 Linderman Ave
Warren, MI 48093-1048
Phone (248) 763-0911

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
I20110823000626 MI Practitioner - Nurse Practitioner 2860662228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

27483 Dequindre Rd
Suite 210
Madison Heights, MI 48071-5711
Phone (248) 398-4081

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Oct 1, 2018 Accepting new patients
Henry Ford Health Macomb Oakland Hospital CurrentSince Oct 1, 2018 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Dec 1, 2025 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2024 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

32255 Northwestern Hwy
Ste 130B
Farmington Hills, MI 48334
Phone (248) 354-9666

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

27483 Dequindre Rd
Ste 210
Madison Heights, MI 48071
Phone (248) 398-0964

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: mmcmahon1141097@direct.hfhs.org

Organizations & group practices 6

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1114256302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32060 LINDERMAN AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931048",
            "telephone_number": "248-763-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32060 LINDERMAN AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480931048",
            "telephone_number": "248-763-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MICHELE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704239272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.