Individual provider Active NPI

Holly McDougall, NP

  • Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1558942508
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704248248 Issued in MI
Practice address
31500 Telegraph Rd Ste 225
Bingham Farms, MI 48025-4315
Phone
(248) 552-0620
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704248248 MI Primary

Addresses

Primary practice location

31500 Telegraph Rd Ste 225
Bingham Farms, MI 48025-4315

Mailing address

31500 Telegraph Road
Suite 010
Bingham Farms, MI 48025-4315
Phone (248) 552-0620

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
I20210506000751 MI Practitioner - Nurse Practitioner 7618386566 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
Telehealth
Offers telehealth services
Group practices
Newland Medical Associates, P.C.Group PAC ID 2668490251, 17 clinicians

Practice addresses (Care Compare)

44000 W Twelve Mile Rd
Suite 210
Novi, MI 48377-2648
Phone (248) 552-0620

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension St John Hospital CurrentSince May 1, 2021 Accepting new patients
Newland Medical Associates, P.C. CurrentSince Aug 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince May 1, 2021 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients

Locations

31500 Telegraph Rd
Ste 225
Bingham Farms, MI 48025
Phone (248) 381-4600

31500 Telegraph Rd
Ste 010
Bingham Farms, MI 48025
Phone (248) 594-3201

5701 Bow Pointe Dr
Ste 335
Clarkston, MI 48346
Phone (248) 338-7171

44000 W Twelve Mile Rd
Ste 210
Novi, MI 48377
Phone (248) 347-8294

1135 W University Dr
Ste 356
Rochester, MI 48307

1901 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4580

1901 Star Batt Dr
Ste 100D
Rochester Hills, MI 48309
Phone (248) 844-4000

22301 Foster Winter Dr
Southfield, MI 48075
Phone (248) 849-3541

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1558942508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH ROAD",
            "address_2": "SUITE 010",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254315",
            "telephone_number": "248-552-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 225",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254315",
            "telephone_number": "248-552-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "HOLLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704248248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.