Kimberly Denise Page, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Northville Township, MI
NPI 1326388448 · NPPES record last updated Feb 26, 2013
Key facts
- NPI
- 1326388448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704233839 (MI)
- Practice address
- 39350 9 Mile Rd
Northville Township, MI 48167-9164 - Phone
- (866) 389-2727
- NPI assigned
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Diagnostic of Michigan PC
Practice addresses (Care Compare)
1402 W 14 Mile Rd
Clawson
Clawson, MI 48017-1499
Phone (866) 389-2727
17120 Kercheval Ave
Grosse Pointe, MI 48230-1661
Phone (866) 389-2727
39350 9 Mile Rd
Northville, MI 48167-9164
Phone (866) 389-2727
44300 5 Mile Rd
Northville, MI 48168-9504
Phone (866) 389-2727
45300 Cherry Hill Rd
Canton, MI 48187-5073
Phone (866) 389-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130518000073 | MI | Practitioner - Nurse Practitioner | 4385881903 | Reassigns benefits to 4 organizations |
| I20260204000936 | OH | Practitioner - Nurse Practitioner | 4385881903 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704233839 | MI | MD | Family Nurse Practitioner |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Matrix Medical Plus | Current |
Accepting new patients | |
| Vpa PC | Current |
Accepting new patients | |
| Vpa PC | Current |
Accepting new patients | |
| Community Care Health Network LLC | Current |
Accepting new patients | |
| Minuteclinic Diagnostic of Michigan PC | Family | Current |
Accepting new patients |
| Minuteclinic Primary Care-Michigan PLLC | Family | Current |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
44300 5 Mile Rd
Northville, MI 48168
Phone (734) 416-1883
39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704233839 | MI | Yes |
Addresses
Primary practice location
39350 9 Mile Rd
Northville Township, MI 48167-9164
Mailing address
23851 Morton St
Oak Park, MI 48237-2111
Phone (313) 409-9497
Other providers in Northville Township, MI
All providers in Northville Township, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.