Individual provider Active NPI

Ericka Ward, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Oak Park, MI
National Provider Identifier
1164294062
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704320434 Issued in MI
Practice address
13750 Vernon St
Oak Park, MI 48237-1387
Phone
(313) 629-5120
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704320434 MI Primary
Gerontology Nurse Practitioner 363LG0600X 4704320434 MI

Addresses

Primary practice location

13750 Vernon St
Oak Park, MI 48237-1387

Mailing address

13750 Vernon St
Oak Park, MI 48237-1387
Phone (313) 629-5120

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
I20240724003953 MI Practitioner - Nurse Practitioner 7810433968 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704320434MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Sep 23, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

4436 Beecher Rd
Flint, MI 48532
Phone (810) 223-9324

11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 355-4719

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

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, 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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1164294062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 VERNON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371387",
            "telephone_number": "313-629-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 VERNON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371387",
            "telephone_number": "313-629-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ERICKA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704320434",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704320434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.