Individual provider Active NPI

James Henry Wood, NP-C

  • Family Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1497217822
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704303926 Issued in MI
Practice address
50 W Big Beaver Rd Ste 90
Bloomfield Hills, MI 48304-3910
Phone
(248) 997-7000
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 4704303926 MI
Family Nurse Practitioner 363LF0000X 4704303926 MI Primary

Addresses

Primary practice location

50 W Big Beaver Rd Ste 90
Bloomfield Hills, MI 48304-3910

Mailing address

50 W Big Beaver Rd Ste 190
Bloomfield Hills, MI 48304-3911

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
I20190717001587 MI Practitioner - Nurse Practitioner 3577898204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

6549 N Canton Ctr Rd
Beaumont Urgent Care of Michigan
Canton, MI 48187-1653
Phone (734) 589-1969

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704303926MIMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Jan 15, 2022 Accepting new patients
Vpa PC CurrentSince Sep 1, 2023 Accepting new patients
Vpa PC CurrentSince Sep 1, 2023 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

6549 N Canton Center Rd
Canton, MI 48187
Phone (734) 589-1969

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Organizations & group practices 5

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 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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1497217822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD STE 190",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD STE 90",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043910",
            "telephone_number": "248-997-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704303926",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.