Active NPI
Renita Jon Elder-Robinson, APRN, FNP-BC
- Family Nurse Practitioner
- Brownstown TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704235476
- Practice address
- 22990 King Rd
Brownstown TWP, MI 48183-1025 - Phone
- (248) 910-1814
- NPI assigned
- Feb 22, 2019
- Last updated
- Mar 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704235476 | MI | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704235476 | MI |
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 1
- Renita Jon Elder-Robinson
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8623 N Wayne Rd
123 Childrens Outpatient Services
Westland, MI 48185-1137
Phone (734) 367-0469
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hegira Health, Inc | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| Hegira Health, Inc. | Current | Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4201 Saint Antoine St
Ste 5C
Detroit, MI 48201
Phone (313) 577-5030
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
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westland, MI
- NPI 1184684979
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1508323882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34564 BLACKFOOT ST",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481852725",
"telephone_number": "248-910-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22990 KING RD",
"city": "BROWNSTOWN TWP",
"state": "MI",
"postal_code": "481831025",
"telephone_number": "248-910-1814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER-ROBINSON",
"first_name": "RENITA",
"middle_name": "JON",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704235476",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704235476",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENITA",
"last_name": "ELDER-ROBINSON",
"middle_name": "JON",
"credential": "APRN, FNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brownstown TWP, MI
- Discount Drugs LLC (Discount Drugs)
- Downriver Cancer Center (Josephine Ford Cancer Center)
- Downriver Operations, LLC (Elmcroft of Downriver)
- Downriver Pediatric Associates P.C.
- Downriver Specialists, P.C.
- Eleni Callis DDS PLLC
- William M Ellington, PTA
- Embrace Home Care, LLC
- Empowerment Counseling Services PLLC
- Excellent Care Physical Therapy PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.