Individual provider Active NPI

Brittany Pajewski, NP

  • Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1437568813
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704267394 Issued in MI
Practice address
6236 Thorncrest Dr
Bloomfield Hills, MI 48301-1707
Phone
(248) 613-0468
NPI assigned
Aug 11, 2014
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 4704267394 MI Primary

Addresses

Primary practice location

6236 Thorncrest Dr
Bloomfield Hills, MI 48301-1707

Mailing address

6236 Thorncrest Dr
Bloomfield Hills, MI 48301-1707

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
I20150313000155 MI Practitioner - Nurse Practitioner 7911223748 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704267394MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tavis a. Dancik MD PLLC CurrentSince Jul 1, 2025 Accepting new patients

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1437568813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 THORNCREST DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 THORNCREST DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011707",
            "telephone_number": "248-613-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJEWSKI",
        "first_name": "BRITTANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704267394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.