Active NPI
Hannah Elizabeth Bender, FNP-C
- Family Nurse Practitioner
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704326757
- Practice address
- 2696 Stommel Rd
Ypsilanti, MI 48198-9635 - Phone
- (734) 355-5267
- NPI assigned
- Feb 23, 2023
- Last updated
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 4704326757 | MI | Primary |
Addresses
Primary practice location
2696 Stommel Rd
Ypsilanti, MI 48198-9635
Mailing address
2696 Stommel Rd
Ypsilanti, MI 48198-9635
Phone (734) 355-5267
Other names 1
- Hannah Elizabeth Walacavage
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 S Telegraph Rd
Suite 101
Bloomfield Hills, MI 48302-0202
Phone (877) 448-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704326757 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients |
Locations
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
2520 S Telegraph Rd
Ste 101
Bloomfld Hls, MI 48302
Phone (248) 745-5600
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650
Interoperability endpoints
- hbender3516549@direct.trinity-health.org
Organizations & group practices 5
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.
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
MI
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Urgent Care-Domino's Farms
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1992937023
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1285333732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2696 STOMMEL RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989635",
"telephone_number": "734-355-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2696 STOMMEL RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481989635",
"telephone_number": "734-355-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "HANNAH",
"middle_name": "ELIZABETH",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704326757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "WALACAVAGE",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.