Individual provider Active NPI

Nicole Marie O'Meara

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1235877531
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704327075 Issued in MI
Practice address
15959 Hall Rd Ste Ll104
Macomb, MI 48044-5364
Phone
(586) 799-1212
Fax
(586) 799-1210
NPI assigned
May 25, 2022
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 4704327075 MI Primary

Addresses

Primary practice location

15959 Hall Rd Ste Ll104
Macomb, MI 48044-5364

Mailing address

15959 Hall Rd Ste Ll104
Macomb, MI 48044-5364
Phone (586) 799-1212

Other names 1

  • Nicole Marie Karr Professional name

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
I20221215002139 MI Practitioner - Nurse Practitioner 8426427394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth L Gwinn MD PCGroup PAC ID 8325098791, 6 clinicians

Practice addresses (Care Compare)

15959 Hall Rd
Suite Ll104
Macomb, MI 48044-5364
Phone (586) 799-1212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704327075MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Visiting Physicians, PLLC CurrentSince Dec 8, 2022 Accepting new patients
Kenneth L Gwinn MD PC CurrentSince Jul 23, 2023 Accepting new patients
Infinity Visiting Physician Services PLC PastSince Sep 6, 2020 Accepting new patients

Locations

15959 Hall Rd
Ste LL104
Macomb, MI 48044
Phone (586) 799-1212

16250 Northland Dr
Ste 318
Southfield, MI 48075
Phone (248) 862-5311

4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007

Interoperability endpoints

  • Direct secure messaging: nkarr736710@direct.hfhs.org

Organizations & group practices 3

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 6

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": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1235877531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15959 HALL RD STE LL104",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445364",
            "telephone_number": "586-799-1212",
            "fax_number": "586-799-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15959 HALL RD STE LL104",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445364",
            "telephone_number": "586-799-1212",
            "fax_number": "586-799-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MEARA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704327075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KARR",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.