Cecelia Hustek, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704307048 Issued in MI

Practice address

17888 Mack Ave Ste 1
Grosse Pointe, MI 48230-6234

Phone

(313) 520-1674

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, MI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Ohio Medical University, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aegis Medical PLLCGroup PAC ID 6608226329, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Aegis Medical PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Grosse Pointe, MI
  • NPI 1831883529

  KY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1639817604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17888 MACK AVE STE 1",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306234",
            "telephone_number": "313-520-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17888 MACK AVE STE 1",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306234",
            "telephone_number": "313-520-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTEK",
        "first_name": "CECELIA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Homick, ACNPC-AG
• Linda Hryhorczuk, M.D.
• Jayla Hubbard
• David M. Humphrey, PA
• Timothy James Huppenbauer, MS, PA-C
• Ian Goldsbrough LPC, PLC
• Stephanie Icabone, MD
• Grace Ignatious, DO
• Valbona Ilias, CRNA
• Inmates of Neccessity Ministries

• Family Nurse Practitioner in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.