NPIMap

Organization Active NPI

Uptiv Health Mi PC

  • Family Nurse Practitioner
  • Westland, MI
National Provider Identifier
1285335265
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
UPTIV HEALTH MI PC
Practice address
36585 Warren Rd
Westland, MI 48185-2999
Phone
(734) 203-0176
Fax
(888) 373-5528
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Frankie Allen Dejesus
Title
Sr. Ops Director
Phone
(615) 430-7119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

36585 Warren Rd
Westland, MI 48185-2999

Mailing address

5543 Edmondson Pike Ste 162
Nashville, TN 37211-5808
Phone (734) 203-0176

Other practice location 1

283 E Big Beaver Rd
Troy, MI 48083-1209
Phone (734) 203-0176

Other practice location 2

18535 W 12 Mile Rd
Lathrup Village, MI 48076-2634
Phone (734) 203-0176

Other practice location 3

36680 Garfield Rd
Clinton Township, MI 48035-1134
Phone (734) 203-0176

Other practice location 4

25875 Novi Rd Ste 115
Novi, MI 48375-1680
Phone (734) 203-0176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230406002591 MI Part B Supplier - Clinic/Group Practice 5698140523 Receives reassigned benefits from 6 practitioners
Practice locations: Westland, MI; Troy, MI; Lathrup Village, MI; Novi, MI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Uptiv Health Mi PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36680 Garfield Rd
Clinton Township, MI 48035

18535 W 12 Mile Rd
Lathrup Village, MI 48076
Phone (248) 552-3734

5543 Edmonson Pike
Nashville, TN 37211
Phone (479) 601-7700

Interoperability endpoints

  • Direct secure messaging: uptivhealth@org126.direct.charmhealth.com

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1285335265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 EDMONDSON PIKE STE 162",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115808",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36585 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852999",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 E Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831209",
            "country_code": "US",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18535 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Lathrup Village",
            "state": "MI",
            "postal_code": "480762634",
            "country_code": "US",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36680 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480351134",
            "country_code": "US",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25875 Novi Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751680",
            "country_code": "US",
            "telephone_number": "734-203-0176",
            "fax_number": "888-373-5528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPTIV HEALTH MI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "SR. OPS DIRECTOR",
        "authorized_official_telephone_number": "615-430-7119"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.