Individual provider Active NPI

Taylor Shea Novice, MD

  • Dermatology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1497374789
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301512237 Issued in MI
Practice address
4120 W Maple Rd Ste 206
Bloomfield Hills, MI 48301-3068
Phone
(248) 932-3376
Fax
(248) 932-1046
NPI assigned
Apr 16, 2020
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301512237 MI Primary

Addresses

Primary practice location

4120 W Maple Rd Ste 206
Bloomfield Hills, MI 48301-3068

Mailing address

7456 Paddle Wheel CT
Bloomfield Hills, MI 48301-3700
Phone (248) 660-4877

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825000208 MI Practitioner - Dermatology 8921422973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novice Aesthetics and Dermatology PLLCGroup PAC ID 2365878758, 3 clinicians

Practice addresses (Care Compare)

4120 W Maple Rd
Suite 206
Bloomfield Hills, MI 48301-3068
Phone (248) 709-8776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301512237MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novice Aesthetics and Dermatology PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

4120 W Maple Rd
Ste 206
Bloomfld Hls, MI 48301
Phone (248) 709-8776

Interoperability endpoints

  • Direct secure messaging: taylor.novice.1@18430.direct.athenahealth.com

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, 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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1497374789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 PADDLE WHEEL CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013700",
            "telephone_number": "248-660-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W MAPLE RD STE 206",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013068",
            "telephone_number": "248-932-3376",
            "fax_number": "248-932-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICE",
        "first_name": "TAYLOR",
        "middle_name": "SHEA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301512237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.