Active NPI
Edvennia O Fizer-Washington, NP-C
- Adult Health Nurse Practitioner
- Ypsilanti, MI
National Provider Identifier
1174523153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704230647
- Practice address
- 5333 McAuley Dr
Ste 4003
Ypsilanti, MI 48197-1014 - Phone
- (734) 712-3470
- NPI assigned
- Jul 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704230647 | MI | Primary |
Addresses
Primary practice location
5333 McAuley Dr
Ste 4003
Ypsilanti, MI 48197-1014
Mailing address
5333 McAuley Dr
Suite 4003
Ypsilanti, MI 48197-1014
Phone (734) 712-3470
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kidneyaa@directaddress.net | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704230647 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Michigan PC | Current | Accepting new patients | |
| Michigan Multispecialty Physicians, P.C. | Adult Health | Past | Accepting new patients |
Locations
5333 McAuley Dr
Rm 4003
Ypsilanti, MI 48197
Phone (734) 712-3470
5333 McAuley Dr
Rm 1117
Ypsilanti, MI 48197
Phone (734) 712-2093
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- efizerwashington12292@direct.acumenmd.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Ypsilanti, MI
- NPI 1922249366
-
- Critical Care Medicine (Internal Medicine) Physician
- Ypsilanti, MI
- NPI 1912941337
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1174523153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "SUITE 4003",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-3470",
"fax_number": "734-712-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR",
"address_2": "STE 4003",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971014",
"telephone_number": "734-712-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIZER-WASHINGTON",
"first_name": "EDVENNIA",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-30",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704230647",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kidneyaa@directaddress.net",
"affiliation": "N",
"endpointDescription": "connect URL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HIE",
"address_1": "5333 McAuley Dr",
"address_2": "Ste 4003",
"city": "Ypsilanti",
"state": "MI",
"country_code": "US",
"postal_code": "481971014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.