Individual provider Active NPI

Lauren Nicola Tseng, NP

  • Gerontology Nurse Practitioner
  • Westland, MI
National Provider Identifier
1407605207
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704330472 Issued in MI
Practice address
8191 N Wayne Rd
Westland, MI 48185-1285
Phone
(248) 692-4747
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704330472 MI Primary

Addresses

Primary practice location

8191 N Wayne Rd
Westland, MI 48185-1285

Mailing address

8191 N Wayne Rd
Westland, MI 48185-1285
Phone (248) 692-4747

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
I20250327001402 MI Practitioner - Nurse Practitioner 3678096963

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mimwc,IncGroup PAC ID 8921544693, 4 clinicians

Practice addresses (Care Compare)

31300 Rexwood St
Suite 3a
Farmington Hills, MI 48334-1464
Phone (858) 621-1514

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1407605207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851285",
            "telephone_number": "248-692-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851285",
            "telephone_number": "248-692-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSENG",
        "first_name": "LAUREN",
        "middle_name": "NICOLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704330472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.