Active NPI
Ingrid L Blair, RN
- Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704262720
- Practice address
- 2051 W Grand Blvd
Detroit, MI 48208-1105 - Phone
- (313) 961-3200
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704262720 | MI | |
| Nurse Practitioner | 363L00000X | 4704262720 | MI | Primary |
Addresses
Primary practice location
2051 W Grand Blvd
Detroit, MI 48208-1105
Mailing address
25850 Beech CT
Southfield, MI 48033-2824
Phone (810) 874-3112
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
37450 Schoolcraft Rd
Suite 110
Livonia, MI 48150-1000
Phone (734) 458-4601
8623 N Wayne Rd
Westland, MI 48185-1137
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.84 of 100
- Quality
- 87.8
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 82.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704262720 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hegira Health, Inc. | Current | Accepting new patients | |
| Hegira Health, Inc | Current | 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
37450 Schoolcraft Rd
Ste 170
Livonia, MI 48150
Phone 7344584601235
8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westland, MI
- NPI 1184684979
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1427313121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25850 BEECH CT",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332824",
"telephone_number": "810-874-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "313-961-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "INGRID",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704262720",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704262720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.