Individual provider Active NPI

Lauren Ann Paselk, FNP-C

  • Nurse Practitioner
  • Madison Heights, MI
National Provider Identifier
1609475813
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704282911 Issued in MI
Practice address
1385 E 12 Mile Rd Ste 100
Madison Heights, MI 48071-2618
Phone
(248) 399-6090
NPI assigned
Oct 19, 2020
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704282911 MI Primary
Primary Care Nurse Practitioner 363LP2300X 4704282911 MI

Addresses

Primary practice location

1385 E 12 Mile Rd Ste 100
Madison Heights, MI 48071-2618

Mailing address

1385 E 12 Mile Rd
Madison Heights, MI 48071-2602
Phone (865) 399-6090

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
I20201113002318 MI Practitioner - Nurse Practitioner 4082024450 Reassigns benefits to 9 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704282911MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Pacs 2 PC CurrentSince Sep 16, 2024 Accepting new patients
Emergency Department Physicians, P.C. CurrentSince Sep 15, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 27, 2020 Accepting new patients
Blue Water Urgent Care PLLC Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Observation Emergency Physicians, P.C. CurrentSince Sep 15, 2023 Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Sep 16, 2024 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 21, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 27, 2020 Accepting new patients

Locations

2700 Pointe Tremble Rd
Algonac, MI 48001
Phone (810) 662-2827

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4220 Hospital Dr
East China, MI 48054
Phone (810) 329-4735

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

3941 24th Ave
Fort Gratiot, MI 48059
Phone (810) 882-9373

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

1385 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 284-1760

1385 E 12 Mile Rd
Ste 100
Madison Hts, MI 48071
Phone (248) 399-6090

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

35284 23 Mile Rd
New Baltimore, MI 48047
Phone (586) 335-3573

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

90 Jean St
Yale, MI 48097
Phone (810) 387-3226

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1609475813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712602",
            "telephone_number": "865-399-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD STE 100",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712618",
            "telephone_number": "248-399-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASELK",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704282911",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704282911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.