Active NPI
Ashley N Decraene, NP-C
- Family Nurse Practitioner
- Rochester, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704290238
- Practice address
- 1000 W University Dr Ste 202
Rochester, MI 48307-1875 - Phone
- (248) 375-4033
- Fax
- (483) 754-0342
- NPI assigned
- Oct 30, 2019
- Last updated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704290238 | MI | Primary |
Addresses
Primary practice location
1000 W University Dr Ste 202
Rochester, MI 48307-1875
Mailing address
1000 W University Dr Ste 202
Rochester, MI 48307-1875
Phone (248) 375-4033
Other practice location 1
239 S Main St
Romeo, MI 48065-5130
Phone (248) 375-4033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704290238 | Other | MI | MI NP LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 Harrington St
302A
Mount Clemens, MI 48043-2967
Phone (586) 759-2005
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.83 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 96.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704290238 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Consultants PLLC | Current | Accepting new patients |
Locations
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
1030 Harrington St
Ste 302A
Mount Clemens, MI 48043
Phone (586) 759-2005
Interoperability endpoints
- adecraene951090@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Mount Clemens, MI
- NPI 1891708814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1609410976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W UNIVERSITY DR STE 202",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071875",
"telephone_number": "248-375-4033",
"fax_number": "483-754-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W UNIVERSITY DR STE 202",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071875",
"telephone_number": "248-375-4033",
"fax_number": "483-754-0342"
}
],
"practiceLocations": [
{
"address_1": "239 S Main St",
"address_purpose": "LOCATION",
"city": "Romeo",
"state": "MI",
"postal_code": "480655130",
"country_code": "US",
"telephone_number": "248-375-4033",
"fax_number": "248-375-4034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DECRAENE",
"first_name": "ASHLEY",
"middle_name": "N",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-30",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704290238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI NP LICENSE",
"identifier": "4704290238",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.