Individual provider Active NPI

Karen Wilkinson Wright, AGNP-C, MSN/ED, RN

  • Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1447726104
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704167528 Issued in MI
Practice address
3055 Plymouth Rd
Ann Arbor, MI 48105-3208
Phone
(877) 448-3627
Fax
(866) 507-1164
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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 4704167528 MI Primary

Addresses

Primary practice location

3055 Plymouth Rd
Ann Arbor, MI 48105-3208

Mailing address

15 Ridgeway
Saline, MI 48176-9133
Phone (734) 352-7178

Other practice location 1

2525 Jolly Rd
Okemos, MI 48864-3680
Phone (877) 448-3627

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
I20181212001824 MI Practitioner - Nurse Practitioner 6204170699 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

3055 Plymouth Rd
Suite 103
Ann Arbor, MI 48105-3208
Phone (877) 448-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704167528MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Nov 4, 2018 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Nov 4, 2018 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

3055 Plymouth Rd
Ste 103
Ann Arbor, MI 48105

2525 Jolly Rd
Okemos, MI 48864
Phone (989) 729-4308

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

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.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1447726104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RIDGEWAY",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769133",
            "telephone_number": "734-352-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481053208",
            "telephone_number": "877-448-3627",
            "fax_number": "866-507-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643680",
            "country_code": "US",
            "telephone_number": "877-448-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON WRIGHT",
        "first_name": "KAREN",
        "credential": "AGNP-C, MSN/ED, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704167528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.