Active NPI
Victoria Pruss, FNP-BC
- Family Nurse Practitioner
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704329299
- Practice address
- 1701 South Blvd E
Rochester Hills, MI 48307-6122 - Phone
- (248) 985-9232
- NPI assigned
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704329299 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704329299 | MI | Primary |
Addresses
Primary practice location
1701 South Blvd E
Rochester Hills, MI 48307-6122
Mailing address
6500 Emerald Lake Dr
Troy, MI 48085-1445
Phone (248) 613-8688
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2050 N Haggerty Rd
B1 Comprehensive Urology
Canton, MI 48187-3795
Phone (734) 656-1190
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704329299 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Gastroenterology, PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Troy Gastroenterology PC | Current | Accepting new patients | |
| Troy Gastroenterology, PC | Current | Accepting new patients |
Locations
2050 N Haggerty Rd
Ste B1
Canton, MI 48187
Phone (734) 656-1190
30795 23 Mile Rd
Ste 206
Chesterfield, MI 48047
Phone (586) 421-1740
32255 Northwestern Hwy
Ste 105
Farmington Hills, MI 48334
Phone (248) 406-1090
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
48801 Romeo Plank Rd
Ste 105
Macomb, MI 48044
Phone (586) 226-2722
1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710
31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250
50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423
4600 Investment Dr
Troy, MI 48098
Phone (248) 267-5000
4600 Investment Dr
Ste 380
Troy, MI 48098
Phone (248) 267-5025
Interoperability endpoints
- victoria.pruss.1@18740.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
dba Center For Digestive Health
- Gastroenterology Physician
- Rochester Hills, MI
- NPI 1134180318
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
dba Michigan Gastroenterology Institute
- Gastroenterology Physician
- East Lansing, MI
- NPI 1699880591
-
- Anesthesiology Physician
- Troy, MI
- NPI 1740232701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1518549286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 EMERALD LAKE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851445",
"telephone_number": "248-613-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SOUTH BLVD E",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483076122",
"telephone_number": "248-985-9232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUSS",
"first_name": "VICTORIA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704329299",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704329299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
- Professional Breathing Associates Inc (Professional Breathing Associates)
- Professional Recordkeeping Systems, LLC
- Profound Psychotherapy LLC
- Emalee Jane Prohaska, FNP
- Julian Alexander Prosser, LLMSW
- Psi Medical
- Douglas Eugene Pugmire, D.O.
- Pulmonary Allergy Critical Care & Sleep Associates PLC
- Pulmonary Critical Care and Sleep PC
- Pulse Community Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.