Individual provider Active NPI

Rebecca Cherney

  • Nurse Practitioner
  • West Bloomfield, MI
National Provider Identifier
1477079481
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704300737 Issued in MI
Practice address
6079 W Maple Rd
West Bloomfield, MI 48322-2283
Phone
(248) 851-7246
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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 4704300737 MI Primary

Addresses

Primary practice location

6079 W Maple Rd
West Bloomfield, MI 48322-2283

Mailing address

4689 Brightmore Rd
Bloomfield Hills, MI 48302-2124

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
I20171101000848 MI Practitioner - Nurse Practitioner 5597031849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Rehabilitation Physicians PLCGroup PAC ID 5991778086, 9 clinicians

Practice addresses (Care Compare)

6079 W Maple Rd
Michigan Spine and Pain
West Bloomfield, MI 48322-2283
Phone (248) 851-7246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation Physicians PLC Current Accepting new patients

Locations

2935 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 772-1609

2480 W Campus Dr
Ste 500
Mt Pleasant, MI 48858
Phone (989) 772-1609

2935 Health Pkwy
#P
Mt Pleasant, MI 48858
Phone (989) 772-1609

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1477079481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4689 BRIGHTMORE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222283",
            "telephone_number": "248-851-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNEY",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704300737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.