Individual provider Active NPI

Gary Kenneth Hunsinger Jr., CNP

  • Acute Care Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1164436119
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704219053 Issued in MI
Practice address
30055 Northwestern Hwy Ste 220
Farmington Hills, MI 48334-3275
Phone
(248) 865-9898
Fax
(248) 865-9423
NPI assigned
Jul 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704219053 MI
Acute Care Nurse Practitioner 363LA2100X 4704219053 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 220
Farmington Hills, MI 48334-3275

Mailing address

30055 Northwestern Hwy Ste 220
Farmington Hills, MI 48334-3275
Phone (248) 865-9898

Other practice location 1

4160 John R
Ste 804
Detroit, MI 48201-2014
Phone (313) 745-4525

Other identifiers 1

IdentifierTypeStateIssuer
4704219053OtherMIMI LICENSE

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
I20061120000302 MI Practitioner - Nurse Practitioner 7618975038 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704219053MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coremed Consultants of Michigan PLLC CurrentSince Jul 13, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Oct 1, 2017 Accepting new patients
Impg PLLC CurrentSince Sep 1, 2024 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Oct 1, 2017 Accepting new patients
Henry Ford Health Providence Hospital Nurse Practitioner Current Accepting new patients
Heart Cardiology Consultants PC Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

30055 Northwestern Hwy
Ste 220
Farmington Hills, MI 48334
Phone (248) 380-6624

47601 Grand River Ave
Ste C206
Novi, MI 48374
Phone (248) 465-5955

16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335

22250 Providence Dr
Ste 705
Southfield, MI 48075
Phone (248) 465-5955

Organizations & group practices 7

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164436119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 220",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343275",
            "telephone_number": "248-865-9898",
            "fax_number": "248-865-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 220",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343275",
            "telephone_number": "248-865-9898",
            "fax_number": "248-865-9423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 John R",
            "address_2": "Ste 804",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012014",
            "country_code": "US",
            "telephone_number": "313-745-4525",
            "fax_number": "313-993-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNSINGER",
        "first_name": "GARY",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704219053",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704219053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "4704219053",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.