Michelle Miclea

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704231675 Issued in MI

Practice address

9815 Dixie Hwy
Ira, MI 48023-2817

Phone

(313) 605-7465

NPI assigned

May 5, 2017

Last updated

May 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  MI

  Medicare reassignment NPD
• Alliance Health Physicians PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1346038189
  Medicare reassignment

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1275069585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 DIXIE HWY",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232817",
            "telephone_number": "313-605-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 DIXIE HWY",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232817",
            "telephone_number": "313-605-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICLEA",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704231675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Suzanne Fortuna, GCDF, LPC
• Mary Mooney Grettenberger
• Ira Chiro PC
• Paul Andrew Mahoney II, A.T.,C. L.A.T.
• Haylee Madison Majewski
• Deborah Mueller, L.L.P.C.
• New Horizons Counseling Center PLLC
• North Point Medical Center PC
• Krysandra Lynn Phelan, LMSW
• Victoria Reed

• Acute Care Nurse Practitioner in Ira, MI
• Providers in Ira, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.