Active NPI
Damian Greisiger, FNP-C
- Family Nurse Practitioner
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704354807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CenterHenry Ford Health System
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704354807 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Family | Current | Accepting new patients |
| Prestige Care Health | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Clinton Township, MI
- NPI 1639573033
-
- Federally Qualified Health Center (FQHC)
- Center Line, MI
- NPI 1770284564
-
- Federally Qualified Health Center (FQHC)
- Center Line, MI
- NPI 1811391212
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Children's Substance Abuse Rehabilitation Facility
- West Bloomfield, MI
- NPI 1295767630
-
- Health & Wellness Coach
- Eastpointe, MI
- NPI 1427820158
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.