Individual provider Active NPI

Andrea Margaret Donehue, NP

  • Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1407296338
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704221307 Issued in MI
Practice address
1886 W Auburn Rd
Suite 400
Rochester Hills, MI 48309-3865
Phone
(248) 290-3111
Fax
(248) 290-3100
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704221307 MI Primary

Addresses

Primary practice location

1886 W Auburn Rd
Suite 400
Rochester Hills, MI 48309-3865

Mailing address

15474 Haggerty Rd
Northville, MI 48170
Phone (734) 335-6103

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
I20131109000587 MI Practitioner - Nurse Practitioner 6002041589 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

15474 N Haggerty Rd
Plymouth, MI 48170-4893
Phone (734) 335-6103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Dec 1, 2015 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Dec 1, 2015 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

3055 Plymouth Rd
Ste 103
Ann Arbor, MI 48105

19991 Hall Rd
Ste 105
Macomb, MI 48044
Phone (586) 247-8609

2549 Jolly Rd
Ste 360
Okemos, MI 48864
Phone (517) 347-2222

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

27209 Lahser Rd
Ste 120
Southfield, MI 48034
Phone (248) 358-4892

14510 Northline Rd
Southgate, MI 48195
Phone (734) 282-2800

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1407296338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15474 HAGGERTY RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-335-6103",
            "fax_number": "630-528-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 W AUBURN RD",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093865",
            "telephone_number": "248-290-3111",
            "fax_number": "248-290-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONEHUE",
        "first_name": "ANDREA",
        "middle_name": "MARGARET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704221307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.