Individual provider Active NPI

Rachael Elizabeth Compeau, NP

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1427587120
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704257319 Issued in MI
Practice address
725 Mason St
Flint, MI 48503
Phone
(810) 496-5777
Fax
(810) 496-5798
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2019

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 4704257319 MI Primary

Addresses

Primary practice location

725 Mason St
Flint, MI 48503

Mailing address

25 Millville Rd
Lapeer, MI 48446-1643
Phone (810) 496-5777

Other practice location 1

725 Mason St
Flint, MI 48503
Phone (810) 496-5777

Other names 1

  • Rachael Elizabeth Green Former name

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
I20170814001926 MI Practitioner - Nurse Practitioner 9335411131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

31500 Telegraph Rd
Suite 130
Bingham Farms, MI 48025-4313
Phone (248) 590-2301

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704257319MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince May 1, 2020 Accepting new patients
Genesee Health System Nurse Practitioner CurrentSince Sep 2, 2018 Accepting new patients
Genesee Health System Family CurrentSince Sep 2, 2018 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince May 1, 2020 Accepting new patients
Genesee Health System Current Accepting new patients

Locations

31500 Telegraph Rd
Ste 130
Bingham Farms, MI 48025
Phone (248) 433-3803

6815 Dixie Hwy
Clarkston, MI 48346
Phone (248) 625-1011

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

422 W 4th Ave
Flint, MI 48503
Phone (810) 496-5500

725 Mason St
Flint, MI 48503
Phone (810) 257-3736

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

25 Millville Rd
Lapeer, MI 48446
Phone (810) 538-2015

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Interoperability endpoints

  • Direct secure messaging: rachael.compeau.1@29544.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1427587120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MILLVILLE RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461643",
            "telephone_number": "810-496-5777",
            "fax_number": "810-496-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MASON ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-496-5777",
            "fax_number": "810-496-5798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Mason St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "48503",
            "country_code": "US",
            "telephone_number": "810-496-5777",
            "fax_number": "810-496-5798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPEAU",
        "first_name": "RACHAEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704257319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "GREEN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.