Madeline Jane Rista, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704348468 Issued in MI

Practice address

5450 Fort St
Trenton, MI 48183-4601

Phone

(734) 642-2340

NPI assigned

Jan 11, 2024

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrista489376@direct.hfhs.org

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.

• Family Health PC

  • Clinic/Center
  • Riverview, MI
  • NPI 1184677866
  Medicare reassignment NPD
• Im Consultant

  dba Primedical Urgent Care 1

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1023644242
  Medicare reassignment NPD
• Primedical Healthcare Associates PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1396521662
  Medicare reassignment NPD
• Downriver Family Health PLLC

  • Internal Medicine Physician
  • Riverview, MI
  • NPI 1366255663
  NPD

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1144091935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20110 HCL JACKSON",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601",
            "telephone_number": "734-642-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTA",
        "first_name": "MADELINE",
        "middle_name": "JANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704348468",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704348468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Reed, NCTMB
• Resilient Healing
• Jaimee Reyes, LLMSW
• Andrea Danielle Rich
• Paul Gerard Riker, DDS
• River Urgent Care & Medical Clinic PC
• River Urgent Care & Medical Clinic PC
• Riverfront Speech Therapy LLC (Riverfront Speech Therapy)
• Riverside OB GYN P C
• Riverside Prof. Drug Inc.

• Family Nurse Practitioner in Trenton, MI
• Providers in Trenton, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.