Individual provider Active NPI

Emlee Ann Metevia

  • Psychiatric/Mental Health Nurse Practitioner
  • Oak Park, MI
National Provider Identifier
1316760994
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704315994 Issued in MI
Practice address
24260 Westhampton St
Oak Park, MI 48237-1697
Phone
(313) 574-7018
NPI assigned
Nov 4, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704315994 MI Primary

Addresses

Primary practice location

24260 Westhampton St
Oak Park, MI 48237-1697

Mailing address

24260 Westhampton St
Oak Park, MI 48237-1697
Phone (313) 574-7018

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
I20250108004110 MI Practitioner - Nurse Practitioner 7911435623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2651 Saulino CT
Dearborn, MI 48120-1556
Phone (313) 842-7010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Central City Community Mental Health Inc. CurrentSince Jan 13, 2025 Accepting new patients
Detroit Central City Community Mental Health Inc. CurrentSince Jan 13, 2025 Accepting new patients
Arab Community Center for Economic and Social Services Access CurrentSince Jul 7, 2025 Accepting new patients

Locations

2651 Saulino Ct
Dearborn, MI 48120
Phone (313) 842-7010

6451 Schaefer Rd
Dearborn, MI 48126
Phone (313) 945-8138

10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595

613 Abbott St
Detroit, MI 48226

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1316760994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24260 WESTHAMPTON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371697",
            "telephone_number": "313-574-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24260 WESTHAMPTON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371697",
            "telephone_number": "313-574-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METEVIA",
        "first_name": "EMLEE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704315994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.