Individual provider Active NPI

Samantha N Sulzer

  • Family Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1174086839
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02190899 Issued in MI
Practice address
30600 Telegraph Rd Ste 4000
Bingham Farms, MI 48025-5726
Phone
(248) 953-2103
NPI assigned
Apr 10, 2019
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 F02190899 MI Primary

Addresses

Primary practice location

30600 Telegraph Rd Ste 4000
Bingham Farms, MI 48025-5726

Mailing address

4288 Fieldbrook Rd
West Bloomfield, MI 48323-3210

Other identifiers 1

IdentifierTypeStateIssuer
F02190899OtherMIAANP

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
I20190513002079 MI Practitioner - Nurse Practitioner 7214270339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203

2480 W Campus Dr
Suite 500
Mt Pleasant, MI 48858-5414

4288 Fieldbrook Rd
West Bloomfield, MI 48323-3210

5730 Executive Dr
Suite 230
Catonsville, MD 21228-1762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02190899MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services of Michigan, P.C. CurrentSince Feb 27, 2026 Accepting new patients
Erickson Health Medical Group of Michigan PC Current Accepting new patients
Erickson Health Medical Group of Michigan PC CurrentSince Jul 14, 2025 Accepting new patients
Michigan Institute of Urology PC CurrentSince Feb 27, 2026 Accepting new patients
Erickson Health Medical Group of Michigan, PC CurrentSince Jul 14, 2025 Accepting new patients
Medical Rehabilitation Physicians PLC Past Accepting new patients

Locations

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

33014 5 Mile Rd
Livonia, MI 48154
Phone (734) 261-7401

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

41100 Fox Run
Novi, MI 48377
Phone (248) 668-8600

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

2300 Haggerty Rd
Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1174086839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4288 FIELDBROOK RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 4000",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255726",
            "telephone_number": "248-953-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULZER",
        "first_name": "SAMANTHA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F02190899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F02190899",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.