Individual provider Active NPI

Nancy A Hurchik-Munaco, MD

  • Family Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1629047444
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NH045873 Issued in MI
Practice address
23800 Orchard Lake Road
Suite 100
Farmington Hills, MI 48336-2561
Phone
(248) 476-2420
Fax
(248) 476-9709
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NH045873 MI Primary

Addresses

Primary practice location

23800 Orchard Lake Road
Suite 100
Farmington Hills, MI 48336-2561

Mailing address

23800 Orchard Lake Road
Suite 100
Farmington Hills, MI 48336-2561
Phone (248) 476-2420

Other identifiers 5

IdentifierTypeStateIssuer
102846OtherCARE CHOICES PREFERRED CH
080028849OtherMIMEDICARE RAILROAD
C3261OtherMCARE
158852MedicaidMI
700F311630OtherMIBCBS GROUP

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000415 MI Practitioner - Family Practice 5294870408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NH045873MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Medical Group PLLC Family Medicine CurrentSince Jun 1, 2010 Accepting new patients
Envision Medical Group PLLC Family Medicine CurrentSince Jun 1, 2010 Accepting new patients

Locations

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1629047444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362561",
            "telephone_number": "248-476-2420",
            "fax_number": "248-476-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 ORCHARD LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362561",
            "telephone_number": "248-476-2420",
            "fax_number": "248-476-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURCHIK-MUNACO",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "NH045873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES PREFERRED CH",
            "identifier": "102846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080028849",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C3261",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158852",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "700F311630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.