Individual provider Active NPI

Karen Resseguie, FNP-BC

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1356791479
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704197072 Issued in MI
Practice address
39500 W 10 Mile Rd
Suite 100
Novi, MI 48375-2947
Phone
(248) 476-0035
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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 4704197072 MI Primary

Addresses

Primary practice location

39500 W 10 Mile Rd
Suite 100
Novi, MI 48375-2947

Mailing address

39500 W 10 Mile Rd
Suite 100
Novi, MI 48375-2947
Phone (248) 476-0035

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
I20190322000228 MI Practitioner - Nurse Practitioner 2668712092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hegira Health IncGroup PAC ID 3173429560, 41 clinicians

Practice addresses (Care Compare)

8623 N Wayne Rd
Suite 310
Westland, MI 48185-1137
Phone (734) 425-0636

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
87.8
Promoting interoperability
91
Improvement activities
40
Cost
82.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704197072MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc CurrentSince Oct 26, 2020 Accepting new patients
Hegira Health, Inc. CurrentSince Oct 26, 2020 Accepting new patients

Locations

1403 Inkster Rd
Inkster, MI 48141
Phone (313) 565-2200

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

8623 N Wayne Rd
Ste 104
Westland, MI 48185
Phone (734) 469-2770

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

8623 N Wayne Rd
Ste 210
Westland, MI 48185
Phone (734) 349-2973

8623 N Wayne Rd
Ste 310
Westland, MI 48185
Phone (734) 513-7598

Organizations & group practices 2

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1356791479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-476-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD",
            "address_2": "SUITE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-476-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSEGUIE",
        "first_name": "KAREN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704197072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.