Individual provider Active NPI

Winnie Jepkogei Koima, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1518773241
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704380659 Issued in MI
Practice address
10201 E Jefferson Ave
Detroit, MI 48214-3149
Phone
(734) 237-7080
Fax
(313) 499-8389
NPI assigned
Dec 6, 2024
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704380659 MI Primary
Registered Nurse 163W00000X 4704380659 MI

Addresses

Primary practice location

10201 E Jefferson Ave
Detroit, MI 48214-3149

Mailing address

10201 E Jefferson Ave
Detroit, MI 48214-3149
Phone (734) 237-7080

Other practice location 1

34290 Ford Rd
Westland, MI 48185-3051
Phone (734) 237-7080

Other practice location 2

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone (734) 237-7080

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
I20250927000004 MI Practitioner - Nurse Practitioner 6901301027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2130 Wieneke Rd
Suite 6522
Saginaw, MI 48608-6522

290 Town Ctr Dr
Suite 400
Dearborn, MI 48126-2765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704380659MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Team Mental Health Services Inc. CurrentSince Jul 10, 2025 Accepting new patients
Team Wellness Center CurrentSince Jul 10, 2025 Accepting new patients
Reborn Wellness LLC Psychiatric/Mental Health Current Accepting new patients
Team Mental Health Services Inc. Past Accepting new patients
Team Mental Health Services Past Accepting new patients

Locations

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

10201 E Jefferson Ave
Detroit, MI 48214
Phone (313) 446-8980

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

31560 Schoolcraft Rd
Livonia, MI 48150
Phone (248) 919-8653

14799 Dix Toledo Rd
Southgate, MI 48195
Phone (888) 813-8326

34290 Ford Rd
Westland, MI 48185
Phone (734) 412-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1518773241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143149",
            "telephone_number": "734-237-7080",
            "fax_number": "313-499-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143149",
            "telephone_number": "734-237-7080",
            "fax_number": "313-499-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34290 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481853051",
            "country_code": "US",
            "telephone_number": "734-237-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14799 Dix Toledo Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952507",
            "country_code": "US",
            "telephone_number": "734-237-7080",
            "fax_number": "734-221-0786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOIMA",
        "first_name": "WINNIE",
        "middle_name": "JEPKOGEI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704380659",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704380659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.