Individual provider Active NPI

Bianca Marie Goza, DNP, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1467949446
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704308794 Issued in MI
Practice address
4201 Saint Antoine St # 3R
Detroit, MI 48201-2153
Phone
(313) 745-3330
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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 4704308794 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St # 3R
Detroit, MI 48201-2153

Mailing address

59631 Lennox Dr
Washington, MI 48094-2536
Phone (586) 854-8297

Other practice location 1

59631 Lennox Dr
Washington, MI 48094-2536
Phone (586) 854-8297

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
I20190108003900 MI Practitioner - Nurse Practitioner 9234475401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Emergency ServicesGroup PAC ID 0648182071, 30 clinicians

Practice addresses (Care Compare)

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000

Hospital & facility affiliations

  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704308794MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Mercy Livingston Hospital CurrentSince Oct 12, 2019 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Oct 19, 2019 Accepting new patients
Medical Center Emergency Services CurrentSince Jul 1, 2020 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Oct 12, 2019 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 1, 2019 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Oct 19, 2019 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 1, 2019 Accepting new patients

Locations

2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764

1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4201 Saint Antoine St
#3R
Detroit, MI 48201
Phone (313) 745-3030

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

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

Organizations & group practices 8

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.

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1467949446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59631 LENNOX DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942536",
            "telephone_number": "586-854-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST # 3R",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59631 Lennox Dr",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "480942536",
            "country_code": "US",
            "telephone_number": "586-854-8297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOZA",
        "first_name": "BIANCA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704308794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.