Individual provider Active NPI

Rhose Villarez Fernandez, CCDS, APRN-FNP

  • Family Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1154865939
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704233933 Issued in MI
Practice address
35364 Lana LN
Sterling Heights, MI 48312-3856
Phone
(586) 838-6680
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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 4704233933 MI Primary

Addresses

Primary practice location

35364 Lana LN
Sterling Heights, MI 48312-3856

Mailing address

35364 Lana LN
Sterling Heights, MI 48312-3856
Phone (586) 838-6680

Other names 1

  • Mrs. Rhose Andag Villarez Former name

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
I20170118000104 MI Practitioner - Nurse Practitioner 1355623844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Nephrologists PCGroup PAC ID 2466418215, 9 clinicians

Practice addresses (Care Compare)

11885 E 12 Mile Rd
Warren, MI 48093-3467
Phone (586) 558-9033

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Jan 2, 2017 Accepting new patients
Metropolitan Nephrologists PC CurrentSince Nov 26, 2018 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jan 2, 2017 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

27209 Lahser Rd
Ste 222
Southfield, MI 48034
Phone (248) 353-9817

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

11900 E 12 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 558-9033

11885 E 12 Mile Rd
Ste 302B
Warren, MI 48093
Phone (586) 558-9033

Interoperability endpoints

  • Direct secure messaging: rfernandez1126707@direct.hfhs.org

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1154865939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35364 LANA LN",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123856",
            "telephone_number": "586-838-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35364 LANA LN",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123856",
            "telephone_number": "586-838-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RHOSE",
        "middle_name": "VILLAREZ",
        "name_prefix": "Mrs.",
        "credential": "CCDS, APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704233933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHOSE",
            "last_name": "VILLAREZ",
            "middle_name": "ANDAG",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.