Individual provider Active NPI

Nicole Lynn Savoie-Peel, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Lake Orion, MI
National Provider Identifier
1639427412
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
4704224298 Issued in MI
Practice address
1428 S Lapeer Rd
Lake Orion, MI 48360
Phone
(248) 693-0543
Fax
(248) 693-3683
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 4704224298 MI Primary

Addresses

Primary practice location

1428 S Lapeer Rd
Lake Orion, MI 48360

Mailing address

1428 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 693-0543

Other practice location 1

802 W King St Ste E
Owosso, MI 48867-2100
Phone (989) 729-4300

Other identifiers 1

IdentifierTypeStateIssuer
1639427412MedicaidMI

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
I20140623001215 MI Practitioner - Nurse Practitioner 6608090295 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704224298MIMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Associates of Oakland PLLC CurrentSince Mar 11, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation PastSince Mar 11, 2019 Accepting new patients
Women'S Integrated Health Care, P.C. Past Accepting new patients
Women'S Integrated Health Care, P.C. Past Accepting new patients

Locations

1428 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 693-0543

Interoperability endpoints

  • Direct secure messaging: nicole.peel.1@474.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1639427412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-693-0543",
            "fax_number": "248-693-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48360",
            "telephone_number": "248-693-0543",
            "fax_number": "248-693-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W King St Ste E",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488672100",
            "country_code": "US",
            "telephone_number": "989-729-4300",
            "fax_number": "989-729-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVOIE-PEEL",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704224298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639427412",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.