Individual provider Active NPI

Melanie Trenise Woods, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1326357013
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704225061 Issued in MI
Practice address
5285 Anthony Wayne Dr
Detroit, MI 48202-3947
Phone
(313) 577-5041
Fax
(313) 577-9581
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 4704225061 MI Primary

Addresses

Primary practice location

5285 Anthony Wayne Dr
Detroit, MI 48202-3947

Mailing address

5285 Anthony Wayne Dr
Detroit, MI 48202-3947
Phone (313) 577-5041

Other practice location 1

1550 Taylor St
Detroit, MI 48206-2081
Phone (313) 486-5501

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
I20120725000126 MI Practitioner - Nurse Practitioner 6204092901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Nursing Practice CorporationGroup PAC ID 5395746143, 3 clinicians

Practice addresses (Care Compare)

1500 Spring St
Petoskey, MI 49770-9295
Phone (888) 408-7008

5285 Anthony Wayne Dr
Detroit, MI 48202-3947
Phone (313) 577-5041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704225061MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Practice Corporation CurrentSince Oct 6, 2022 Accepting new patients
Vpa PC CurrentSince Mar 28, 2023 Accepting new patients
Vpa PC CurrentSince Mar 28, 2023 Accepting new patients
Nursing Practice Corporation CurrentSince Oct 6, 2022 Accepting new patients

Locations

1550 Taylor St
Detroit, MI 48206
Phone (313) 486-5501

5285 Anthony Wayne Dr
Detroit, MI 48202
Phone (313) 577-5041

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Organizations & group practices 5

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1326357013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 ANTHONY WAYNE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023947",
            "telephone_number": "313-577-5041",
            "fax_number": "313-577-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 ANTHONY WAYNE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023947",
            "telephone_number": "313-577-5041",
            "fax_number": "313-577-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Taylor St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482062081",
            "country_code": "US",
            "telephone_number": "313-486-5501",
            "fax_number": "313-486-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MELANIE",
        "middle_name": "TRENISE",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704225061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.