Individual provider Active NPI

Meghan Rachelle Neill, NP-BC

  • Family Nurse Practitioner
  • Commerce Township, MI
National Provider Identifier
1417501842
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07191118 Issued in MI
Practice address
9640 Commerce Rd Ste 104
Commerce Township, MI 48382-4167
Phone
(248) 363-1500
NPI assigned
Jul 24, 2019
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 F07191118 MI Primary

Addresses

Primary practice location

9640 Commerce Rd Ste 104
Commerce Township, MI 48382-4167

Mailing address

9640 Commerce Rd Ste 104
Commerce Township, MI 48382-4167
Phone (248) 363-1500

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
I20190909002127 MI Practitioner - Nurse Practitioner 8729317201 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07191118MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Internal Medicine, P.C. CurrentSince Aug 7, 2019 Accepting new patients

Locations

9640 Commerce Rd
Ste 104
Commerce Twp, MI 48382
Phone (248) 363-1500

Organizations & group practices 1

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1417501842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 104",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-363-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 COMMERCE RD STE 104",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824167",
            "telephone_number": "248-363-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "MEGHAN",
        "middle_name": "RACHELLE",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F07191118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.