Individual provider Active NPI

Nicholas Lorenz, PA-C

  • Physician Assistant
  • Southfield, MI
National Provider Identifier
1346502788
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006368 Issued in MI
Practice address
29275 Northwestern Hwy Ste 100
Southfield, MI 48034-5700
Phone
(248) 784-3667
Fax
(248) 869-3982
NPI assigned
Jun 12, 2012
Last updated
Apr 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006368 MI Primary

Addresses

Primary practice location

29275 Northwestern Hwy Ste 100
Southfield, MI 48034-5700

Mailing address

29275 Northwestern Hwy Ste 100
Southfield, MI 48034-5700
Phone (248) 784-3667

Other practice location 1

3555 W 13 Mile Rd Ste N220
Royal Oak, MI 48073-6710
Phone (248) 784-3667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nick.lorenz.p1@direct.mhsineuro.nextgenshare.com

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
I20120801000019 MI Practitioner - Physician Assistant 9133385495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

29275 Northwestern Hwy
Suite 100
Southfield, MI 48034-5700
Phone (248) 351-6300

3555 W 13 Mile Rd
Suite N220
Royal Oak, MI 48073-6710
Phone (248) 268-5980

43475 Dalcoma Dr
Suite 150
Clinton Township, MI 48038-3594
Phone (877) 784-3667

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006368MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates, PC CurrentSince Aug 1, 2018 Accepting new patients
Arbor Recovery Michigan PLLC PastSince Apr 6, 2021 Accepting new patients
University Neurosurgical Associates Past Accepting new patients
University Neurosurgical Associates PC Past Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

3555 W 13 Mile Rd
Ste N220
Royal Oak, MI 48073
Phone (248) 268-5980

3601 W 13 Mile Rd
Royal Oak, MI 48073

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Interoperability endpoints

  • Direct secure messaging: nlorenz60422@direct.hfhs.org
  • Direct secure messaging: nlorenz737075@direct.hfhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1346502788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345700",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345700",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 W 13 Mile Rd Ste N220",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736710",
            "country_code": "US",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nick.lorenz.p1@direct.mhsineuro.nextgenshare.com",
            "affiliation": "N",
            "address_1": "29275 Northwestern Hwy Ste 100",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480345700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.