Renita Jon Elder-Robinson, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Brownstown TWP, MI
NPI 1508323882 · NPPES record last updated Mar 18, 2021
Key facts
- NPI
- 1508323882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704235476 (MI)
- Practice address
- 22990 King Rd
Brownstown TWP, MI 48183-1025 - Phone
- (248) 910-1814
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hegira Health Inc
Practice addresses (Care Compare)
8623 N Wayne Rd
123 Childrens Outpatient Services
Westland, MI 48185-1137
Phone (734) 367-0469
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 |
|---|---|---|---|---|
| I20190925001772 | MI | Practitioner - Nurse Practitioner | 8224368865 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hegira Health, Inc. | Current |
Accepting new patients | |
| Hegira Health, Inc | Current |
Accepting new patients | |
| University Physician Group | Current |
Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1403 Inkster Rd
Inkster, MI 48141
Phone (313) 565-2200
26184 Outer Dr
Lincoln Park, MI 48146
Phone (313) 389-7500
37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704235476 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704235476 | MI | Yes |
Addresses
Primary practice location
22990 King Rd
Brownstown TWP, MI 48183-1025
Mailing address
34564 Blackfoot St
Westland, MI 48185-2725
Phone (248) 910-1814
Other names
- Renita Jon Elder-Robinson
Other providers in Brownstown TWP, MI
- Discount Drugs LLC
- Downriver Cancer Center
- Downriver Operations, LLC
- Downriver Pediatric Associates P.C.
- Downriver Specialists, P.C.
- Eleni Callis DDS PLLC
- William M Ellington
- Embrace Home Care, LLC
- Empowerment Counseling Services PLLC
- Excellent Care Physical Therapy PC
All providers in Brownstown TWP, 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 Mar 18, 2021. 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.