Individual provider Active NPI

Talisha Ladonna Watts, ANP-BC

  • Adult Health Nurse Practitioner
  • Chesterfield, MI
National Provider Identifier
1215197082
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2008000145 Issued in MI
Practice address
34390 Country Meadow Rd
Chesterfield, MI 48047-3161
Phone
(313) 465-3550
NPI assigned
Jun 14, 2008
Last updated
May 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2008000145 MI Primary

Addresses

Primary practice location

34390 Country Meadow Rd
Chesterfield, MI 48047-3161

Mailing address

34390 Country Meadow Rd
Chesterfield, MI 48047-3161
Phone (313) 465-3550

Other identifiers 2

IdentifierTypeStateIssuer
5008609170OtherMIBCBS IND
1215197082MedicaidMI

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
I20110621000567 MI Practitioner - Nurse Practitioner 4688852650 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephro-Care MD PLCGroup PAC ID 3971813635, 9 clinicians
Inhospital Physicians Michigan PLLCGroup PAC ID 5991208407, 19 clinicians

Practice addresses (Care Compare)

19141 Greenfield Rd
Detroit, MI 48235-6007
Phone (313) 960-6605

2601 Electric Ave
Port Huron, MI 48060-6587
Phone (484) 965-9566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
60.24
Improvement activities
40
Cost
69.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008000145MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Ahmad MD PLC CurrentSince Jul 1, 2019 Accepting new patients
Michigan Emergency Services CurrentSince Apr 1, 2018 Accepting new patients
Nephro-Care MD PLC CurrentSince Jul 1, 2022 Accepting new patients
Primedical Healthcare Associates PLLC CurrentSince Jan 13, 2025 Accepting new patients
Inhospital Physicians Michigan PLLC Nurse Practitioner CurrentSince Sep 12, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 7, 2025 Accepting new patients
Ali Achira MD PC CurrentSince Sep 3, 2018 Accepting new patients
Pioneer Medical Group PLLC CurrentSince Jul 25, 2018 Accepting new patients
Ihp Mi Emergency Medicine PLLC CurrentSince Oct 1, 2025 Accepting new patients
Inpatient Consultants of Michigan PC CurrentSince May 22, 2012 Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4700 Greenfield Rd
Ste 2C
Dearborn, MI 48126
Phone (313) 600-4669

19141 Greenfield Rd
Detroit, MI 48235
Phone (313) 835-8500

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

6501 Greenfield Rd
Ste B
Detroit, MI 48228
Phone (313) 651-7053

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

6255 Inkster Rd
Ste 201
Garden City, MI 48135
Phone (734) 425-7230

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIHEBD
  • Direct secure messaging: twatts1157149@direct.hfhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1215197082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34390 COUNTRY MEADOW RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473161",
            "telephone_number": "313-465-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34390 COUNTRY MEADOW RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473161",
            "telephone_number": "313-465-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TALISHA",
        "middle_name": "LADONNA",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "2008000145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "5008609170",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215197082",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.