Individual provider Active NPI

Michelle Berciles Villareal, FNP

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1447728076
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704298684 Issued in MI
Practice address
1380 Coolidge Hwy Ste 150B
Troy, MI 48084-7067
Phone
(248) 250-9474
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 4704298684 MI Primary

Addresses

Primary practice location

1380 Coolidge Hwy Ste 150B
Troy, MI 48084-7067

Mailing address

1380 Coolidge Hwy Ste 150B
Troy, MI 48084-7067
Phone (248) 817-5264

Other practice location 1

29877 Telegraph Rd Ste 200
Southfield, MI 48034-7659
Phone (248) 817-5264

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
I20240206000510 MI Practitioner - Nurse Practitioner 5698126548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704298684MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultant PC CurrentSince Nov 20, 2023 Accepting new patients

Locations

29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730

1380 Coolidge Hwy
Ste 150
Troy, MI 48084
Phone (248) 677-4700

2221 Livernois Rd
Ste 100
Troy, MI 48083
Phone (248) 250-8233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1447728076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 COOLIDGE HWY STE 150B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847067",
            "telephone_number": "248-817-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 COOLIDGE HWY STE 150B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847067",
            "telephone_number": "248-250-9474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29877 Telegraph Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480347659",
            "country_code": "US",
            "telephone_number": "248-817-5264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAREAL",
        "first_name": "MICHELLE",
        "middle_name": "BERCILES",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704298684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.