Individual provider Active NPI

Michael Warren Victor

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1508504986
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704324662 Issued in MI
Practice address
G3169 Beecher Rd
Flint, MI 48532-3611
Phone
(616) 301-8000
NPI assigned
May 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704324662 MI Primary
Nurse Practitioner 363L00000X 4704324662 MI
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704324662 MI

Addresses

Primary practice location

G3169 Beecher Rd
Flint, MI 48532-3611

Mailing address

G3169 Beecher Rd
Flint, MI 48532-3611
Phone (616) 301-8000

Other practice location 1

1110 Eldon Baker Dr
Flint, MI 48507-1923
Phone (616) 301-8000

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
I20220701001821 MI Practitioner - Nurse Practitioner 2264812692 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alternative Community Living IncGroup PAC ID 6608864350, 16 clinicians

Practice addresses (Care Compare)

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024

G3169 Beecher Rd
Flint, MI 48532-3611
Phone (810) 232-2766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704324662MIMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Living, Inc. CurrentSince Dec 26, 2023 Accepting new patients
Alternative Community Living, Inc. CurrentSince Dec 26, 2023 Accepting new patients
Alternative Community Living, Inc. Current Accepting new patients
Hope Network S E CurrentSince Dec 26, 2023 Accepting new patients
Hope Network - Rehabilitation Services CurrentSince Dec 26, 2023 Accepting new patients
Hope Network Behavioral Health Services CurrentSince Dec 26, 2023 Accepting new patients
Hope Network West Michigan CurrentSince Dec 26, 2023 Accepting new patients
Alternative Community Living, Inc. Past Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients

Locations

2700 E Lansing Dr
East Lansing, MI 48823
Phone 5173321616 ext. 16205

2711 E Lansing Dr
East Lansing, MI 48823
Phone (517) 332-6932

2701 E Lansing Dr
East Lansing, MI 48823

2775 E Lansing Dr
East Lansing, MI 48823

G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803

304 W Tobias St
Flint, MI 48503
Phone (810) 233-4093

1110 Eldon Baker Dr
Flint, MI 48507
Phone (810) 213-1803

1490 E Beltline Ave SE
Grand Rapids, MI 49506

1450 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 774-8789

5990 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 492-7842

3333 36th St SE
Kentwood, MI 49512
Phone (616) 726-1966

11652 W Grand River Ave
Lowell, MI 49331
Phone (616) 897-2956

175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103

17160 130th Ave
Nunica, MI 49448
Phone (616) 298-8190

16908 130th Ave
Nunica, MI 49448
Phone (616) 414-7305

1213 S Washington Ave
Saginaw, MI 48601
Phone (989) 401-9015

3353 Hospital Rd
Saginaw, MI 48603
Phone (989) 746-9633

799 Hombach St
Saint Ignace, MI 49781
Phone (906) 298-0438

755 36th St SE
Wyoming, MI 49548
Phone (616) 248-5160

795 36th St SE
Wyoming, MI 49548
Phone (616) 248-5160

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1508504986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "616-301-8000",
            "fax_number": "810-744-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "616-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Eldon Baker Dr",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485071923",
            "country_code": "US",
            "telephone_number": "616-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "MICHAEL",
        "middle_name": "WARREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704324662",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704324662",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704324662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.