Melissa Ann Peura, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704206066 Issued in MI

Practice address

33475 Palmer Rd
Westland, MI 48186-4614

Phone

(734) 728-2423

Fax

(734) 728-2183

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: mpeura1250920@epic00.shdirect.org

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.

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  • Allergy & Immunology Physician
  • Novi, MI
  • NPI 1528152246
  NPD (past)
• Oakwood Child and Adolesecent Health Care Centers

  dba Oakwood Teen Centers, LLC

  • Student Health Clinic/Center
  • Taylor, MI
  • NPI 1245418151
  NPD (past)
• Wayne County Treasurer Payroll-County of Wayne

  • Federally Qualified Health Center (FQHC)
  • Wayne, MI
  • NPI 1538543160
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1285729681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "847-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33475 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864614",
            "telephone_number": "734-728-2423",
            "fax_number": "734-728-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26650 Eureka Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481804835",
            "country_code": "US",
            "telephone_number": "734-942-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEURA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704206066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704206066",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpeura117793@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "33475 Palmer Rd",
            "city": "Westland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481864614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Rehabilitation Professionals, PLLC
• Physical Rehabilitation Services PLLC

• Nurse Practitioner in Westland, MI
• Providers in Westland, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.