Individual provider Active NPI

Joann Clinton, AGACNP

  • Nurse Practitioner
  • Brownstown, MI
National Provider Identifier
1114640414
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704331080 Issued in MI
Practice address
27070 Brookview CT
Brownstown, MI 48134-9066
Phone
(248) 231-5737
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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 4704331080 MI Primary

Addresses

Primary practice location

27070 Brookview CT
Brownstown, MI 48134-9066

Mailing address

27070 Brookview CT
Brownstown, MI 48134-9066
Phone (248) 231-5737

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
I20230202000486 MI Practitioner - Nurse Practitioner 9638541550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mimwc,IncGroup PAC ID 8921544693, 4 clinicians

Practice addresses (Care Compare)

31300 Rexwood St
Suite 3a
Farmington Hills, MI 48334-1464
Phone (858) 621-1514

Merit-based Incentive Payment System (MIPS)

Final score
26.06 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704331080MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
365 Health Care Group PLC CurrentSince Jan 1, 2025 Accepting new patients
Advocates in Home Health Care PC CurrentSince Dec 9, 2022 Accepting new patients
Khalid Rao MD PC CurrentSince Jan 1, 2025 Accepting new patients
Advanced Wound Care Inc Current Accepting new patients
Mitten Mobile Wound Care LLC CurrentSince Feb 1, 2026 Accepting new patients
Bradley B Bailey MD and Roger B Schechter MD Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

10089 Willow Creek Rd
Ste 200
San Diego, CA 92131
Phone (858) 621-1514

31300 Rexwood St
Ste A3
Farmington Hills, MI 48334
Phone (858) 621-1514

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1114640414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27070 BROOKVIEW CT",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481349066",
            "telephone_number": "248-231-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27070 BROOKVIEW CT",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481349066",
            "telephone_number": "248-231-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "JOANN",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-01-03",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704331080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

Verify at the official NPI Registry.