Individual provider Active NPI

Nicole Lynne Demeter, CNM

  • Advanced Practice Midwife
  • Warren, MI
National Provider Identifier
1245750801
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
4669 E 8 Mile Rd
Warren, MI 48091-2709
Phone
(313) 416-6200
Fax
(313) 221-9799
NPI assigned
Jun 26, 2017
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary
Registered Nurse 163W00000X 4704291959 MI

Addresses

Primary practice location

4669 E 8 Mile Rd
Warren, MI 48091-2709

Mailing address

16854 Country Club Dr
Livonia, MI 48154-2174
Phone (734) 751-5056

Other names 1

  • Nicole Lynne Murn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Obstetrics & Gynecology, PLLC PastSince Jan 1, 1998 Accepting new patients
Uwh of Michigan PLC PastSince Mar 20, 2022 Accepting new patients

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, 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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1245750801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16854 COUNTRY CLUB DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542174",
            "telephone_number": "734-751-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912709",
            "telephone_number": "313-416-6200",
            "fax_number": "313-221-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETER",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704291959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MURN",
            "middle_name": "LYNNE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.