Individual provider Active NPI

Kendra Peker, FNP-C, MSN

  • Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1124622576
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704307809 Issued in MI
Practice address
25911 Middlebelt Rd
Farmington Hills, MI 48336-1402
Phone
(734) 482-1200
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 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 4704307809 MI Primary

Addresses

Primary practice location

25911 Middlebelt Rd
Farmington Hills, MI 48336-1402

Mailing address

25911 Middlebelt Rd
Farmington Hills, MI 48336-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704307809MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nrmi, LLC CurrentSince Sep 22, 2022 Accepting new patients

Locations

313 Congress St
Boston, MA 02210

25911 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 471-9507

5570 Whittaker Rd
Ypsilanti, MI 48197
Phone (517) 263-5810

Organizations & group practices 1

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1124622576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25911 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25911 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361402",
            "telephone_number": "734-482-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKER",
        "first_name": "KENDRA",
        "name_prefix": "Ms.",
        "credential": "FNP-C, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704307809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.