Individual provider Active NPI

Damian Greisiger, FNP-C

  • Family Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1497433288
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704354807 Issued in MI
Practice address
455 Barclay Cir # 2B
Rochester Hills, MI 48307-4774
Phone
(248) 230-8930
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704354807 MI Primary

Addresses

Primary practice location

455 Barclay Cir # 2B
Rochester Hills, MI 48307-4774

Mailing address

22505 Allen Rd
Woodhaven, MI 48183-2237
Phone (734) 671-6217

Other practice location 1

22505 Allen Rd
Woodhaven, MI 48183-2237
Phone (734) 671-6217

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
I20240305004121 MI Practitioner - Nurse Practitioner 9537504121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mycare Health Center 6 clinicians
Henry Ford Health System 2,550 clinicians

Practice addresses (Care Compare)

18 Market St C
Mount Clemens, MI 48043-7403
Phone (586) 783-2222

22505 Allen Rd
Woodhaven, MI 48183-2237
Phone (734) 671-6217

6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone (586) 756-7777

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704354807MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Mar 10, 2024 Accepting new patients
Henry Ford Health System CurrentSince Feb 29, 2024 Accepting new patients
Henry Ford Health System Family CurrentSince Feb 29, 2024 Accepting new patients
Prestige Care Health PastSince Oct 29, 2023 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

110 E 2nd St
Royal Oak, MI 48067
Phone (248) 546-2110

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: dgreisiger951621@direct.hfhs.org

Organizations & group practices 9

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 1

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1497433288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22505 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481832237",
            "telephone_number": "734-671-6217",
            "fax_number": "734-671-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BARCLAY CIR # 2B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074774",
            "telephone_number": "248-230-8930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22505 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481832237",
            "country_code": "US",
            "telephone_number": "734-671-6217",
            "fax_number": "734-671-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREISIGER",
        "first_name": "DAMIAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704354807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.