Active NPI
Nuha Bakkal, FNP-C
- Family Nurse Practitioner
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704319006
- Practice address
- 28455 Haggerty Rd Ste 200
Novi, MI 48377-2982 - Phone
- (248) 893-3200
- Fax
- (248) 893-2950
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704319006 | MI | Primary |
Addresses
Primary practice location
28455 Haggerty Rd Ste 200
Novi, MI 48377-2982
Mailing address
PO Box 30516 Dept 1114
Lansing, MI 48909
Phone (248) 893-3220
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201124000556 | MI | Practitioner - Nurse Practitioner | 4385055391 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28455 Haggerty Rd
Suite 200
Novi, MI 48377-2982
Phone (248) 893-3200
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
- Garden City Hospital
- Surgeons Choice Medical Center
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Itest Health PLC | Family Medicine | Current | Accepting new patients |
| Rehabilitation Physicians, PC | Current | Accepting new patients | |
| Rehabilitation Physicians PC | Family | Current | Accepting new patients |
Locations
3477 E Grand River Ave
Howell, MI 48843
Phone (248) 893-3200
14700 Farmington Rd
Ste 105
Livonia, MI 48154
Phone (248) 330-7098
28455 Haggerty Rd
Ste 200
Novi, MI 48377
Phone (248) 893-3200
Interoperability endpoints
- nuha.bakkal.1@28940.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Novi, MI
- NPI 1891783916
Family, MI
-
- Prosthetic/Orthotic Supplier
- Novi, MI
- NPI 1598190902
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
Hospital
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1285906792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1245847342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30516 DEPT 1114",
"city": "LANSING",
"state": "MI",
"postal_code": "48909",
"telephone_number": "248-893-3220",
"fax_number": "248-893-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28455 HAGGERTY RD STE 200",
"city": "NOVI",
"state": "MI",
"postal_code": "483772982",
"telephone_number": "248-893-3200",
"fax_number": "248-893-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKKAL",
"first_name": "NUHA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704319006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.