Michelle Ford
Individual provider Active NPI Family Nurse Practitioner · Roseville, MI
NPI 1477099422 · NPPES record last updated Sep 26, 2017
Key facts
- NPI
- 1477099422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704309683 (MI)
- Practice address
- 20769 E 13 Mile Rd
Roseville, MI 48066-4503 - Phone
- (586) 439-5088
- NPI assigned
- Jan 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstreet Urgent Care of Michigan
Practice addresses (Care Compare)
15959 Hall Rd
Suite 104
Macomb, MI 48044-5364
Phone (586) 884-2688
2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744
3200 Walton Blvd
Rochester Hills, MI 48309-1200
Phone (248) 809-5224
43037 Dequindre Rd
Troy, MI 48085-1101
Phone (248) 817-8682
56293 Van Dyke Ave
Shelby Township, MI 48316-5019
Phone (586) 932-4539
845 S Lapeer Rd
Lake Orion, MI 48362-2925
Phone (248) 469-0011
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.04 of 100
- Quality
- 67.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170419000643 | MI | Practitioner - Nurse Practitioner | 6800172248 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704309683 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Urgent Care PC | Current |
Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Current |
Accepting new patients | |
| Canton Urgent Care Walk-in Clinic PC | Current |
Accepting new patients | |
| Oak Park Urgent Care PLLC | Current |
Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past |
Accepting new patients |
Locations
43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050
24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
26935 Northwestern Hwy
Ste 115
Southfield, MI 48033
Phone (248) 230-2019
23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400
2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134
Interoperability endpoints
- mford1233807@epic00.shdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704309683 | MI | Yes |
| Registered Nurse | 163W00000X | 4704309683 | MI |
Addresses
Primary practice location
20769 E 13 Mile Rd
Roseville, MI 48066-4503
Mailing address
20769 E 13 Mile Rd
Roseville, MI 48066-4503
Other providers in Roseville, MI
- First Choice Medical Transportation
- Edward Fitzpatrick
- Flock Group LLC
- Alyssa Florez
- Brianna T Forbis
- Kevin Mark Foster
- Jennata Francis
- Francisco J. Rodriguez MD PC
- Jacquelyn Freeman-Ingram
- Eyitemi Fregene
All providers in Roseville, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.