Individual provider Active NPI

Reina Brojan Pearson, MS,FNP-C

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1457754533
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704259694 Issued in MI
Practice address
6001 W Outer Dr
Suite 114
Detroit, MI 48235-2614
Phone
(313) 966-9095
Fax
(313) 966-9294
NPI assigned
Oct 2, 2014
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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 4704259694 MI Primary

Addresses

Primary practice location

6001 W Outer Dr
Suite 114
Detroit, MI 48235-2614

Mailing address

11086 Oak LN Apt 8306
Belleville, MI 48111-4335
Phone (734) 233-4953

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
I20141223001627 MI Practitioner - Nurse Practitioner 8123341195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WRJ and Associates PLLCGroup PAC ID 1153644653, 7 clinicians
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

44237 Michigan Ave
Canton, MI 48188-2866
Phone (734) 333-9001

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

5301 McAuley Dr
Ypsilanti, MI 48197-1051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704259694MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
True Health Primary Care PLLC CurrentSince Mar 5, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
WRJ & Associates PLLC CurrentSince Mar 4, 2021 Accepting new patients
Umayr Azimi MD PLLC CurrentSince May 1, 2021 Accepting new patients
Iha Health Services Corporation CurrentSince Feb 1, 2023 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 16, 2021 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Iha Health Service Corporation CurrentSince Feb 1, 2023 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 16, 2021 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

80 S Zeeb Rd
Ann Arbor, MI 48103
Phone (734) 272-0063

44237 Michigan Ave
Canton, MI 48188
Phone (734) 333-9001

44237 Michigan Ave
Ste B
Canton, MI 48188
Phone (734) 333-9001

673 E Cedar Ave
Gladwin, MI 48624
Phone (734) 333-9001

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Interoperability endpoints

  • Direct secure messaging: reina.brojanpearson@2217.securemail.prognocis.com
  • Direct secure messaging: reina.pearson.1@21010.direct.athenahealth.com
  • Direct secure messaging: rpearson44845@direct.trinity-health.org

Organizations & group practices 9

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.

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1457754533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11086 OAK LN APT 8306",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481114335",
            "telephone_number": "734-233-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR",
            "address_2": "SUITE 114",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352614",
            "telephone_number": "313-966-9095",
            "fax_number": "313-966-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "REINA",
        "middle_name": "BROJAN",
        "credential": "MS,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.