Individual provider Active NPI

Coral Lynn Hufnagel, DNP-FNP

  • Family Nurse Practitioner
  • Hamtramck, MI
National Provider Identifier
1649800038
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704317829 Issued in MI
Practice address
9021 Joseph Campau St
Hamtramck, MI 48212-3726
Phone
(313) 365-1362
NPI assigned
Jan 24, 2020
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 4704317829 MI Primary

Addresses

Primary practice location

9021 Joseph Campau St
Hamtramck, MI 48212-3726

Mailing address

9021 Joseph Campau St
Hamtramck, MI 48212-3726
Phone (313) 871-1926

Other practice location 1

9021 Joseph Campau St
Hamtramck, MI 48212-3726
Phone (313) 365-1362

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
I20200608000464 MI Practitioner - Nurse Practitioner 2567883135 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704317829MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Treasurer Payroll-County of Wayne CurrentSince May 4, 2020 Accepting new patients
Wayne County Treasurer-Payroll County of Wayne CurrentSince May 4, 2020 Accepting new patients

Locations

9021 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 871-1926

33030 Van Born Rd
Wayne, MI 48184
Phone (734) 727-7101

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, 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": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1649800038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-871-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123726",
            "telephone_number": "313-365-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9021 Joseph Campau St",
            "address_purpose": "LOCATION",
            "city": "Hamtramck",
            "state": "MI",
            "postal_code": "482123726",
            "country_code": "US",
            "telephone_number": "313-365-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFNAGEL",
        "first_name": "CORAL",
        "middle_name": "LYNN",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.