Individual provider Active NPI

Laura Christine Nielsen, FNP

  • Family Nurse Practitioner
  • Roseville, MI
National Provider Identifier
1598301889
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704275162NSA190Y7 Issued in MI
Practice address
25910 Kelly Rd
Roseville, MI 48066-4466
Phone
(586) 772-3366
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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 4704275162NSA190Y7 MI Primary

Addresses

Primary practice location

25910 Kelly Rd
Roseville, MI 48066-4466

Mailing address

29145 Bay Pointe Dr
Chesterfield, MI 48047-6029
Phone (586) 634-1563

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
I20200502000128 MI Practitioner - Nurse Practitioner 1759712961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates of Michigan, P.C.Group PAC ID 1850330309, 10 clinicians

Practice addresses (Care Compare)

25910 Kelly Rd B
Roseville, MI 48066-4466
Phone (586) 772-3366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704275162NSA190Y7MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Michigan, P.C. CurrentSince Mar 7, 2020 Accepting new patients
Ascension Macomb Oakland Hospital PastSince Nov 24, 2019 Accepting new patients

Locations

25910 Kelly Rd
Ste B
Roseville, MI 48066
Phone (586) 772-3366

50505 Schoenherr Rd
Ste 320
Shelby Township, MI 48315
Phone (586) 580-3062

Interoperability endpoints

  • Direct secure messaging: laura.nielsen.p1@direct.cardofmich.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 3

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1598301889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29145 BAY POINTE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480476029",
            "telephone_number": "586-634-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664466",
            "telephone_number": "586-772-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704275162NSA190Y7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.