Individual provider Active NPI

Carmen Visner, NP

  • Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1629596788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704195502 Issued in MI
Practice address
75 Barclay Cir Ste 230
Rochester Hills, MI 48307-5823
Phone
(248) 246-1127
Fax
(248) 246-0704
NPI assigned
Sep 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4704195502 MI Primary

Addresses

Primary practice location

75 Barclay Cir Ste 230
Rochester Hills, MI 48307-5823

Mailing address

75 Barclay Cir Ste 230
Rochester Hills, MI 48307-5823
Phone (248) 246-1127

Other practice location 1

3500 South Blvd W
Rochester Hills, MI 48309-3973
Phone (248) 852-7800

Other practice location 2

1135 W University Dr Ste 220
Rochester Hills, MI 48307-1872
Phone (248) 814-1040

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
I20171214000573 MI Practitioner - Nurse Practitioner 8123386414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Merit-based Incentive Payment System (MIPS)

Final score
16.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Urgent Care PLLC CurrentSince Jan 26, 2022 Accepting new patients
Primary Medicine PC CurrentSince Nov 9, 2021 Accepting new patients
Heart and Vascular Care, P.C. CurrentSince Dec 1, 2017 Accepting new patients
Vax Solution Inc Past Accepting new patients

Locations

4771 Michigan Ave
Detroit, MI 48210
Phone (313) 897-2600

75 Barclay Cir
Ste 230
Rochester Hills, MI 48307
Phone (248) 246-1127

Interoperability endpoints

  • Direct secure messaging: cvisner656699@direct.hfhs.org

Organizations & group practices 4

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629596788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 230",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075823",
            "telephone_number": "248-246-1127",
            "fax_number": "248-246-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR STE 230",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075823",
            "telephone_number": "248-246-1127",
            "fax_number": "248-246-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 South Blvd W",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483093973",
            "country_code": "US",
            "telephone_number": "248-852-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 W University Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483071872",
            "country_code": "US",
            "telephone_number": "248-814-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISNER",
        "first_name": "CARMEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704195502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.