Individual provider Active NPI

Chrystal Racquel Ojo, AGPCNP-BC

  • Internal Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1154859007
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4704297913 Issued in MI
Practice address
6272 S Saginaw Rd # 1030
Grand Blanc, MI 48439-2705
Phone
(810) 214-2881
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4704297913 MI Primary

Addresses

Primary practice location

6272 S Saginaw Rd # 1030
Grand Blanc, MI 48439-2705

Mailing address

6272 S Saginaw Rd # 1030
Grand Blanc, MI 48439-2705
Phone (810) 874-5200

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
I20171013002566 MI Practitioner - Nurse Practitioner 5496020653 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704297913MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Ambulatory Physicians PLLC Internal Medicine CurrentSince Oct 11, 2022 Accepting new patients
American Ambulatory Physicians CurrentSince Dec 28, 2025 Accepting new patients
Sound Mind Health Services Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients

Locations

1785 W Stadium Blvd
Ste 102
Ann Arbor, MI 48103
Phone (734) 926-0196

429 Nb Chavez Dr
Flint, MI 48503
Phone (810) 214-2881

6272 S Saginaw Rd
Grand Blanc, MI 48439
Phone (800) 771-6340

11554 Highland Rd
Hartland, MI 48353
Phone (810) 632-0086

Interoperability endpoints

  • Direct secure messaging: charris66967@direct.covenanthealthcare.com

Organizations & group practices 3

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1154859007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 S SAGINAW RD # 1030",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392705",
            "telephone_number": "810-874-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 S SAGINAW RD # 1030",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392705",
            "telephone_number": "810-214-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJO",
        "first_name": "CHRYSTAL",
        "middle_name": "RACQUEL",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4704297913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.