Individual provider Active NPI

Tracey Ann Haener, NP ANP-BC.

  • Adult Health Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1295709103
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704187472 Issued in MI
Practice address
43368 Woodward Avenue
Suite 103
Bloomfield Hills, MI 48302
Phone
(248) 332-8404
Fax
(248) 332-8404
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704187472 MI Primary

Addresses

Primary practice location

43368 Woodward Avenue
Suite 103
Bloomfield Hills, MI 48302

Mailing address

P.O. Box 69
Walled Lake, MI 48309
Phone (248) 332-8404

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
I20050608000115 MI Practitioner - Nurse Practitioner 2264475573 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians
Associates in Neurology PCGroup PAC ID 6406827260, 14 clinicians

Practice addresses (Care Compare)

1375 N Main St
Lapeer, MI 48446-1350
Phone (810) 667-5677

27555 Middlebelt Rd
Farmingtn HLS, MI 48334-5011
Phone (248) 478-5512

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners CurrentSince Mar 3, 2019 Accepting new patients
McLaren Hospital Group CurrentSince Nov 19, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jan 4, 2020 Accepting new patients
McLaren Lapeer Region CurrentSince Dec 13, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 3, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC CurrentSince Jan 4, 2020 Accepting new patients
McLaren Lapeer Region Current Accepting new patients
Michigan Internal Medicine Associates,P.C. CurrentSince Aug 1, 2019 Accepting new patients
McLaren Lapeer Region Nurse Practitioner CurrentSince Dec 13, 2021 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Jan 4, 2020 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Jul 6, 2023 Accepting new patients
Associates in Neurology, PC CurrentSince Oct 1, 2025 Accepting new patients
Neuro Team One PLLC CurrentSince Aug 1, 2019 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Nurse Practitioner CurrentSince Jul 6, 2023 Accepting new patients
East Michigan Infectious Disease PLLC CurrentSince Feb 1, 2023 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jan 4, 2020 Accepting new patients
Telemed Consultants PLLC Past Accepting new patients
Franklin J Rosenblat DO PLLC Past Accepting new patients

Locations

18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

31500 Telegraph Rd
Ste 115
Bingham Farms, MI 48025
Phone (248) 621-9100

6632 Telegraph Rd
Bloomfld Hls, MI 48301
Phone (248) 621-9100

27555 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 478-5512

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

1012 W Huron St
Waterford, MI 48328
Phone (248) 681-1880

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1295709103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 69",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-332-8404",
            "fax_number": "248-332-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43368 WOODWARD AVENUE",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-332-8404",
            "fax_number": "248-332-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAENER",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "credential": "NP ANP-BC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704187472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.