Individual provider Active NPI

Nancy Michael

  • Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1609357078
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704272309 Issued in MI
Practice address
337442 12 Mile Rd
Ste 1010a
Farmington Hills, MI 48331
Phone
(248) 893-6610
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 4704272309 MI Primary

Addresses

Primary practice location

337442 12 Mile Rd
Ste 1010a
Farmington Hills, MI 48331

Mailing address

27036 Ladbroke St
Novi, MI 48374-1006
Phone (248) 225-3385

Other practice location 1

5816 N Sheldon Rd
Canton, MI 48187-3153
Phone (734) 307-0037

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
I20181029001711 MI Practitioner - Nurse Practitioner 2668725243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704272309MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Current Accepting new patients
Michigan Academic Hospitalist Group CurrentSince Oct 1, 2018 Accepting new patients
Iha Health Service Corporation CurrentSince Nov 1, 2024 Accepting new patients
Iha Health Services Corporation CurrentSince Nov 1, 2024 Accepting new patients
Iha Health Services Corporation Past Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Michigan Wellness Associates PC PastSince Apr 6, 2023 Accepting new patients
Pavilion Family Practice PC PastSince Jul 1, 2003 Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

33742 W 12 Mile Rd
Ste B
Farmington Hills, MI 48331
Phone (248) 893-6610

33742 W 12 Mile Rd
Farmington Hills, MI 48331
Phone (248) 449-1655

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

44555 Woodward Ave
Ste 104
Pontiac, MI 48341
Phone (248) 334-5400

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Interoperability endpoints

  • Direct secure messaging: nmichael1141451@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFDBA
  • Direct secure messaging: nmichael779327@direct.trinity-health.org

Organizations & group practices 8

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1609357078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27036 LADBROKE ST",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741006",
            "telephone_number": "248-225-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337442 12 MILE RD",
            "address_2": "STE 1010A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48331",
            "telephone_number": "248-893-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5816 N Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873153",
            "country_code": "US",
            "telephone_number": "734-307-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704272309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.