Individual provider Active NPI

Nisreen Abdolkarim

  • Family Nurse Practitioner
  • Westland, MI
National Provider Identifier
1124682307
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704324985 Issued in MI
Practice address
33000 Palmer Rd
Westland, MI 48186-5517
Phone
(734) 729-1800
NPI assigned
Apr 23, 2019
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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 4704324985 MI Primary

Addresses

Primary practice location

33000 Palmer Rd
Westland, MI 48186-5517

Mailing address

51191 Plymouth Lake Cir
Plymouth, MI 48170-6398

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
I20200103000103 MI Practitioner - Nurse Practitioner 9032543814 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704324985MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical Center P C CurrentSince Nov 16, 2019 Accepting new patients
Ark Cardiovascular & Arrhythmia Center PLC CurrentSince Feb 14, 2024 Accepting new patients

Locations

311 Mack Ave
Ste 61100
Detroit, MI 48201
Phone (248) 243-1263

33000 Palmer Rd
Westland, MI 48186
Phone (734) 467-8565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1124682307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51191 PLYMOUTH LAKE CIR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33000 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865517",
            "telephone_number": "734-729-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOLKARIM",
        "first_name": "NISREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704324985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.