Individual provider Active NPI

Trenise McCoy Cartaxo

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1366298630
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704374793 Issued in MI
Practice address
400 N Ingalls St
Ann Arbor, MI 48109-2003
Phone
(248) 877-9264
NPI assigned
Apr 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 4704374793 MI Primary

Addresses

Primary practice location

400 N Ingalls St
Ann Arbor, MI 48109-2003

Mailing address

400 N Ingalls St
Ann Arbor, MI 48109-2003
Phone (734) 764-7185

Other practice location 1

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17160 Kercheval Ave
Grosse Pointe, MI 48230-1661

326 N Main St
Royal Oak, MI 48067-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1366298630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N INGALLS ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092003",
            "telephone_number": "734-764-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N INGALLS ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092003",
            "telephone_number": "248-877-9264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 N Main St",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480674121",
            "country_code": "US",
            "telephone_number": "248-584-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTAXO",
        "first_name": "TRENISE",
        "middle_name": "MCCOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-27",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704374793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.