Aaron N Achatz, FNP-C
Individual provider Active NPI Acute Care Nurse Practitioner · Roseville, MI
NPI 1194580191 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1194580191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4704242620 (MI)
- Practice address
- 25710 Kelly Rd Ste 1
Roseville, MI 48066-4959 - Phone
- (734) 218-4232
- NPI assigned
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Innovation Medicine PLLC
Practice addresses (Care Compare)
25710 Kelly Rd
Suite 1
Roseville, MI 48066-4959
Phone (586) 772-2600
Hospital & facility affiliations
- Henry Ford Health St John Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240401000260 | MI | Practitioner - Nurse Practitioner | 2062850746 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704242620 | MI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovation Medicine, PLLC | Current |
Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
25710 Kelly Rd
Ste 1
Roseville, MI 48066
Phone (586) 772-2600
Interoperability endpoints
- aachatz1159044@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704242620 | MI | Yes |
Addresses
Primary practice location
25710 Kelly Rd Ste 1
Roseville, MI 48066-4959
Mailing address
7696 Saint Clair Hwy
Casco, MI 48064-1520
Phone (810) 434-2530
Other providers in Roseville, MI
- Ameer Abdulrazzak
- Abes Drug Store 102 LLC
- Abes Drug Store 102 LLC
- Robert E Abrams
- Margot G Abundis
- James Darryl Adamo
- Faith Adams
- Advance Vision Medical, Inc.
- Advanced Foot & Ankle Center PC
- Eugene John Agnone
All providers in Roseville, MI · Acute Care Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.