Individual provider Active NPI

Mercy Prakash, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1528595451
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04170112 Issued in MI
Practice address
11446 E 13 Mile Rd
Warren, MI 48093-6571
Phone
(313) 707-0400
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F04170112 MI Primary

Addresses

Primary practice location

11446 E 13 Mile Rd
Warren, MI 48093-6571

Mailing address

43116 Hillcrest Dr
Sterling Heights, MI 48313-2359
Phone (586) 214-7566

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
I20171002000540 MI Practitioner - Nurse Practitioner 2062787070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11446 E 13 Mile Rd
Suite C
Warren, MI 48093-6571
Phone (313) 707-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04170112MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Family Practice PLLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

11446 E 13 Mile Rd
Warren, MI 48093
Phone (313) 707-0400

11446 E 13 Mile Rd
Ste C
Warren, MI 48093
Phone (313) 707-0400

Organizations & group practices 1

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1528595451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43116 HILLCREST DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132359",
            "telephone_number": "586-214-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11446 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936571",
            "telephone_number": "313-707-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "MERCY",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F04170112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.