Individual provider Active NPI

Laurie-Ann Cadene Mitchell

  • Family Nurse Practitioner
  • Ferndale, MI
National Provider Identifier
1578055349
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704279753 Issued in MI
Practice address
10300 W 8 Mile Rd
Ferndale, MI 48220-2100
Phone
(248) 398-3200
Fax
(248) 691-4963
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 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 4704279753 MI Primary

Addresses

Primary practice location

10300 W 8 Mile Rd
Ferndale, MI 48220-2100

Mailing address

10300 W 8 Mile Rd
Ferndale, MI 48220-2100

Other practice location 1

1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Phone (800) 653-6568

Other identifiers 1

IdentifierTypeStateIssuer
4704279753MedicaidMI

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
I20181031002052 MI Practitioner - Nurse Practitioner 6608129028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

80650 Van Dyke Rd
Bruce TWP, MI 48065-1333
Phone (810) 798-8511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704279753MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Family CurrentSince Apr 8, 2024 Accepting new patients
Henry Ford Urgent Care CurrentSince Apr 21, 2023 Accepting new patients
Henry Ford Health System CurrentSince Apr 8, 2024 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020

10300 W 8 Mile Rd
Ferndale, MI 48220
Phone (248) 398-3200

Interoperability endpoints

  • Direct secure messaging: lmitchell854727@direct.hfhs.org
  • Direct secure messaging: laurieann.mitchell.p1@direct.alegiscare.nextgenshare.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 and National Provider Directory roles.

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1578055349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W 8 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W 8 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202100",
            "telephone_number": "248-398-3200",
            "fax_number": "248-691-4963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ford Pl Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023450",
            "country_code": "US",
            "telephone_number": "800-653-6568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LAURIE-ANN",
        "middle_name": "CADENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704279753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4704279753",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.