Individual provider Active NPI

Nuha Bakkal, FNP-C

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1245847342
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704319006 Issued in MI
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

Updated by the provider on Jul 31, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Rehabilitation Physicians PCGroup PAC ID 3870484116, 14 clinicians

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 Hospital, Southfield, MI, CCN 230019
  • Garden City Hospital Hospital, Garden City, MI, CCN 230244
  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Itest Health PLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Rehabilitation Physicians, PC CurrentSince Jul 7, 2025 Accepting new patients
Rehabilitation Physicians PC Family CurrentSince Jul 7, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 15

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

View all 15

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

Verify at the official NPI Registry.