Individual provider Active NPI

Victoria Pruss, FNP-BC

  • Family Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1518549286
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704329299 Issued in MI
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

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407001473 MI Practitioner - Nurse Practitioner 3870989460 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
4704329299MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Gastroenterology, PC CurrentSince May 1, 2022 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Feb 28, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Feb 28, 2023 Accepting new patients
Troy Gastroenterology PC CurrentSince May 1, 2022 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

  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.