Individual provider Active NPI

Amina Hassan, NP

  • Family Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1295336964
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704308438 Issued in MI
Practice address
38525 8 Mile Rd
Livonia, MI 48152-1012
Phone
(734) 542-5512
Fax
(734) 542-3115
NPI assigned
Nov 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704308438 MI Primary

Addresses

Primary practice location

38525 8 Mile Rd
Livonia, MI 48152-1012

Mailing address

38525 8 Mile Rd
Livonia, MI 48152-1012
Phone (734) 542-5512

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218001528 MI Practitioner - Nurse Practitioner 1254746522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arman C Moshyedi MD PLLCGroup PAC ID 1658603576, 13 clinicians

Practice addresses (Care Compare)

305 E Eisenhower Pkwy
Suite 316
Ann Arbor, MI 48108-3348
Phone (855) 940-4867

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: greenbrooktmsmi.aminahassan@158390.advancedmd-direct.com
  • Direct secure messaging: amina.hassan.1@18773.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1295336964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38525 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521012",
            "telephone_number": "734-542-5512",
            "fax_number": "734-542-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38525 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521012",
            "telephone_number": "734-542-5512",
            "fax_number": "734-542-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "AMINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704308438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.