Ace James Tacderas, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704234922 Issued in MI

Practice address

17700 23 Mile Rd
Macomb, MI 48044-1154

Phone

(586) 868-9120

Fax

(586) 868-9136

NPI assigned

May 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Michigan PCGroup PAC ID 5799886313, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1659562262
  Medicare reassignment Care Compare group
• American Current Care of Michigan PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1477745495
  NPD

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

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1447544176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441154",
            "telephone_number": "586-868-9120",
            "fax_number": "586-868-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 23 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441154",
            "telephone_number": "586-868-9120",
            "fax_number": "586-868-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACDERAS",
        "first_name": "ACE",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-28",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704234922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Urgent Care Inc
• Summit Urgent Care PC
• Sunny Skies Home Help LLC
• Sunny Smiles Therapies LLC
• Jenna Swinkowski, LLMSW
• Nickolas Teller
• Jeffrey Richard Teno, DDS
• Thera-Peds
• Theresa M Williams
• Nicole Lynn Thibodeau

• Adult Health Nurse Practitioner in Macomb, MI
• Providers in Macomb, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.

Verify at the official NPI Registry.