Denise J Neubauer, DNP
Individual provider Active NPI Family Nurse Practitioner · Waterford, MI
NPI 1487749578 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1487749578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- PRACTITIONER 4704162 (MI)
- Practice address
- 4995 Highland Rd
Waterford, MI 48328-1143 - Phone
- (866) 389-2727
- Fax
- (248) 674-1027
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sault Tribe of Chippewa Indians
Minuteclinic Diagnostic of Michigan PC
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
- Mackinac Straits Hospital and Health Center
- Chippewa County War Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.3 of 100
- Quality
- 76.96
- Improvement activities
- 40
- Cost
- 79.9
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 |
|---|---|---|---|---|
| I20070117000439 | MI | Practitioner - Nurse Practitioner | 6901807908 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRACTITIONER 4704162 | MI | MD | Family Nurse Practitioner |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care-Michigan PLLC | Family | Current |
Accepting new patients |
| Sault Tribe of Chippewa Indians | Current |
Accepting new patients | |
| Sault Tribe of Chippewa Indians | Current | Accepting new patients | |
| Sault Tribe of Chippewa Indians | Current | Accepting new patients | |
| Sault Tribe of Chippewa Indians | Current | Accepting new patients | |
| Sault Tribe of Chippewa Indians | Family | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704162975 | MI | |
| Family Nurse Practitioner | 363LF0000X | PRACTITIONER 4704162 | MI | Yes |
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
Other providers in Waterford, MI
- Emily Frances-Margaret Naylor
- Eriel Negron
- Pam Nemer
- Nest Psychotherapy & Wellness, PLLC
- Nestor B. Halicki D.O.,P,C.
- John F Neumann Jr.
- New Dimensions Behavioral Health Services, LLC
- New Gateways, Inc.
- New Image Body and Wellness Clinic
- New Image Body and Wellness Clinic, PC
All providers in Waterford, 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 11, 2019. 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.