Individual provider Active NPI

Hannah Rose Boike, F.N.P.

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1639601677
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704324090 Issued in MI
Practice address
39555 W. Ten Mile Rd
Suite 302
Novi, MI 48375
Phone
(248) 426-7200
Fax
(248) 426-7335
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704324090 MI Primary

Addresses

Primary practice location

39555 W. Ten Mile Rd
Suite 302
Novi, MI 48375

Mailing address

39555 W. Ten Mile Rd
Suite 302
Novi, MI 48375
Phone (248) 426-7200

Other names 1

  • Hannah Rose Berman Former name

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
I20180531001432 MI Practitioner - Nurse Practitioner 5496010043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare of Novi PLLCGroup PAC ID 2264326883, 6 clinicians

Practice addresses (Care Compare)

39555 W 10 Mile Rd
Suite 302
Novi, MI 48375-2950
Phone 2489708426105

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704324090MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Urgent Care PLLC CurrentSince Oct 1, 2018 Accepting new patients
Primecare of Novi PLLC CurrentSince May 1, 2018 Accepting new patients

Locations

39555 W 10 Mile Rd
Ste 302
Novi, MI 48375
Phone (248) 426-7200

39555 W 10 Mile Rd
Ste 301
Novi, MI 48375
Phone (248) 426-7200

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1639601677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39555 W. TEN MILE RD",
            "address_2": "SUITE 302",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "248-426-7200",
            "fax_number": "248-426-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39555 W. TEN MILE RD",
            "address_2": "SUITE 302",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "248-426-7200",
            "fax_number": "248-426-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIKE",
        "first_name": "HANNAH",
        "middle_name": "ROSE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704324090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "BERMAN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.