Individual provider Active NPI

Denise Wood, NURSE PRACTITIONER

  • Obstetrics & Gynecology Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1265456198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
4704225983 Issued in MI
Practice address
4201 Saint Antoine St
Suite 4F
Detroit, MI 48201-2153
Phone
(313) 745-4380
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 4704225983 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
Suite 4F
Detroit, MI 48201-2153

Mailing address

37993 Palma Rd
New Boston, MI 48164-9516
Phone (734) 654-1745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150727000982 MI Practitioner - Nurse Practitioner 7113231705 Reassigns benefits to 1 organization
I20230606000988 OH Practitioner - Nurse Practitioner 7113231705 Reassigns benefits to 2 organizations
I20250131000189 MN Practitioner - Nurse Practitioner 7113231705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id Consultants, IncGroup PAC ID 7012995574, 6 clinicians
Midwest Immunology Clinics PLLCGroup PAC ID 4486684438, 9 clinicians
Infusion Associates PLLCGroup PAC ID 0840185203, 18 clinicians

Practice addresses (Care Compare)

150 Springside Dr
Suite 235B
Fairlawn, OH 44333-4522
Phone (216) 360-0456

15700 37TH Ave N
Suite 110
Plymouth, MN 55446-3399
Phone (763) 577-0008

1600 S Beacon Blvd
Suite 100
Grand Haven, MI 49417-2654
Phone (614) 954-0600

3230 Eagle Park Dr NE
Suite 101
Grand Rapids, MI 49525-7047
Phone (616) 954-0600

363 W Big Beaver Rd
Troy, MI 48084-5346
Phone (616) 954-0600

39475 Lewis Dr
Suite 140
Novi, MI 48377-2977
Phone (616) 954-0600

4343 Chicago Dr SW
Grandville, MI 49418-1546
Phone (616) 954-0600

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as group
Quality
88.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12310MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants Inc CurrentSince Aug 1, 2024 Accepting new patients
Infusion Associates of Ohio LLC CurrentSince May 19, 2023 Accepting new patients
Id Consultants of Northeast Ohio, Inc CurrentSince Aug 1, 2024 Accepting new patients
Midwest Immunology Clinics, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Infusion Associates PLLC CurrentSince Sep 9, 2022 Accepting new patients
University Physician Group Past Accepting new patients
Little People Urgent Care PLC PastSince Mar 1, 2016 Accepting new patients

Locations (25 of 27)

1726 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 384-4064

250 W Eisenhower Pkwy
Ste 130
Ann Arbor, MI 48103

44720 Hayes Rd
Ste 200
Clinton Township, MI 48038

830 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 333-3777

830 W Lake Lansing Rd
Ste 150
East Lansing, MI 48823
Phone (517) 897-9200

1600 S Beacon Blvd
Grand Haven, MI 49417
Phone (614) 954-0600

1600 S Beacon Blvd
Ste 100
Grand Haven, MI 49417
Phone (614) 954-0600

3230 Eagle Park Dr NE
Ste 101
Grand Rapids, MI 49525

4343 Chicago Dr SW
Grandville, MI 49418

39475 Lewis Dr
Ste 140
Novi, MI 48377
Phone (248) 489-0766

1399 W Centre Ave
Portage, MI 49024
Phone (269) 615-1657

363 W Big Beaver Rd
Ste 125
Troy, MI 48084

363 W Big Beaver Rd
Ste 126
Troy, MI 48084
Phone (248) 220-5230

15655 37th Ave N
Ste 250
Plymouth, MN 55446
Phone (763) 316-0750

15655 37th Ave N
Ste 260
Plymouth, MN 55446
Phone (763) 316-0750

15700 37th Ave N
Ste 110
Plymouth, MN 55446
Phone (763) 577-0008

652 Bielenberg Dr
Ste 101
Woodbury, MN 55125
Phone (651) 867-1618

3401 Enterprise Pkwy
Ste 110
Beachwood, OH 44122
Phone (216) 245-6762

6640 Poe Ave
Ste 110
Dayton, OH 45414
Phone (937) 759-9906

150 Springside Dr
Ste 235B
Fairlawn, OH 44333
Phone (216) 360-9480

155 Lincoln Way W
Ste A109
Massillon, OH 44647
Phone (216) 488-1060

9381 Mentor Ave
Mentor, OH 44060
Phone (440) 890-4736

18100 Jefferson Park Rd
Ste 106
Middleburg Heights, OH 44130
Phone (216) 628-7050

50 Normandy Dr
Ste 1
Painesville, OH 44077

6220 Wilmington Pike
Ste 6220B
Sugarcreek Township, OH 45459
Phone (937) 741-4658

Interoperability endpoints

  • Direct secure messaging: dwood2@direct.dmc.org
  • Direct secure messaging: dwood853344@direct.hfhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265456198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37993 PALMA RD",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649516",
            "telephone_number": "734-654-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "SUITE 4F",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704225983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.