Individual provider Active NPI

Denise J Neubauer, DNP

  • Family Nurse Practitioner
  • Waterford, MI
National Provider Identifier
1487749578
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PRACTITIONER 4704162 Issued in MI
Practice address
4995 Highland Rd
Waterford, MI 48328-1143
Phone
(866) 389-2727
Fax
(248) 674-1027
NPI assigned
Oct 4, 2006
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704162975 MI
Family Nurse Practitioner 363LF0000X PRACTITIONER 4704162 MI Primary

Addresses

Primary practice location

4995 Highland Rd
Waterford, MI 48328-1143

Mailing address

8035 McDermitt Dr Apt 123
Davison, MI 48423-3100
Phone (810) 516-3455

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
I20070117000439 MI Practitioner - Nurse Practitioner 6901807908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sault Tribe of Chippewa IndiansGroup PAC ID 7012982937, 29 clinicians
Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Practice addresses (Care Compare)

2864 Ashmun St
Sault S Marie, MI 49783-3740
Phone (906) 632-5200

4995 Highland Rd
Waterford, MI 48328-1143
Phone (866) 389-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.3 of 100Reported as group
Quality
76.96
Improvement activities
40
Cost
79.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PRACTITIONER 4704162MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sault Tribe of Chippewa Indians Family CurrentSince Oct 3, 2023 Accepting new patients
Sault Tribe of Chippewa Indians CurrentSince Oct 3, 2023 Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Minuteclinic Primary Care-Michigan PLLC Family CurrentSince Sep 12, 2025 Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients

Locations

21777 21 Mile Rd
Macomb, MI 48044
Phone (586) 949-2078

44300 5 Mile Rd
Northville, MI 48168
Phone (734) 416-1883

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

3010 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-2810

2864 Ashmun St
Sault South Marie, MI 49783
Phone (906) 632-5200

4995 Highland Rd
Waterford, MI 48328
Phone (248) 674-2261

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

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 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1487749578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 MCDERMITT DR APT 123",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233100",
            "telephone_number": "810-516-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281143",
            "telephone_number": "866-389-2727",
            "fax_number": "248-674-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "DENISE",
        "middle_name": "J",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704162975",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "PRACTITIONER 4704162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.