Individual provider Active NPI

Ernest L Harp, FNP-BC

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1245802040
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704260783 Issued in MI
Practice address
15959 Hall Rd Ste Ll104
Macomb, MI 48044-5364
Phone
(313) 702-1911
Fax
(586) 799-1216
NPI assigned
Jul 13, 2021
Sex
Male
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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP70053964 WA
Family Nurse Practitioner 363LF0000X 4046749 KY
Family Nurse Practitioner 363LF0000X A190445 IA
Family Nurse Practitioner 363LF0000X 4704260783 MI Primary
Family Nurse Practitioner 363LF0000X 95031567 CA

Addresses

Primary practice location

15959 Hall Rd Ste Ll104
Macomb, MI 48044-5364

Mailing address

1932 Severn Rd
Grosse Pointe Woods, MI 48236-1961
Phone (313) 702-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, SC, CT, KY, MS, WA, IA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20210803000159 MI Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 2 organizations
I20240829004020 CA Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 2 organizations
I20241203000429 SC Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 1 organization
I20250909004328 CT Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 1 organization
I20251014000498 KY Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 1 organization
I20251029003345 MS Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 1 organization
I20251106003245 WA Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 1 organization
I20260408002011 IA Practitioner - Nurse Practitioner 4789088469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29189SCMDInternal Medicine Physician
15312CTMDPhysical Therapist
A190445IAMDFamily Nurse Practitioner
4046749KYMDFamily Nurse Practitioner
4704260783MIMDFamily Nurse Practitioner
AP70053964WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 31, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 31, 2024 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Oct 23, 2025 Accepting new patients
Kenneth L Gwinn MD PC CurrentSince Jul 15, 2021 Accepting new patients
Molina Healthcare of California CurrentSince Aug 15, 2024 Accepting new patients
Molina Care Connections, LLC. CurrentSince Apr 24, 2023 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

500 SW 7th St
Ste 304
Des Moines, IA 50309

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

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

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

22522 29th Dr SE
#L210
Bothell, WA 98021
Phone (509) 774-7874

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: eharp14364@direct-prd.molinahealthcare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1245802040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 SEVERN RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361961",
            "telephone_number": "313-702-1911",
            "fax_number": "586-799-1216"
        },
        {
            "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": "313-702-1911",
            "fax_number": "586-799-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARP",
        "first_name": "ERNEST",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70053964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4046749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A190445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704260783",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.