Individual provider Active NPI

Theresa Louise Emch, FNP-C

  • Family Nurse Practitioner
  • Roseville, MI
National Provider Identifier
1124756291
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704241895 Issued in MI
Practice address
28350 Gratiot Ave
Roseville, MI 48066-4261
Phone
(586) 775-2727
Fax
(586) 775-1146
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 4704241895 MI Primary

Addresses

Primary practice location

28350 Gratiot Ave
Roseville, MI 48066-4261

Mailing address

28350 Gratiot Ave
Roseville, MI 48066-4261
Phone (586) 775-2727

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
I20220919000769 MI Practitioner - Nurse Practitioner 2466837489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Park Family Health Care PCGroup PAC ID 9638077621, 20 clinicians

Practice addresses (Care Compare)

28350 Gratiot Ave
Roseville, MI 48066-4208
Phone (810) 775-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Family Health Care, P.C. CurrentSince Aug 11, 2025 Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Sep 1, 2022 Accepting new patients
Mi Pacs 2 PC CurrentSince Sep 1, 2022 Accepting new patients
NV Pacs 2 LLC Past Accepting new patients

Locations

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

20333 Conant St
Detroit, MI 48234
Phone (313) 405-0016

15200 Gratiot Ave
Detroit, MI 48205
Phone (313) 891-0044

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

34901 Division Rd
Richmond, MI 48062
Phone (586) 727-7562

28212 Franklin Rd
Southfield, MI 48034

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

90 Jean St
Yale, MI 48097
Phone (810) 387-3226

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1124756291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28350 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664261",
            "telephone_number": "586-775-2727",
            "fax_number": "586-775-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28350 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664261",
            "telephone_number": "586-775-2727",
            "fax_number": "586-775-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMCH",
        "first_name": "THERESA",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704241895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.