Liliana Hall
Individual provider Active NPI Acute Care Nurse Practitioner · Brownstown TWP, MI
NPI 1649939307 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1649939307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4704311492 (MI)
- Practice address
- 19117 Allen Rd Ste a
Brownstown TWP, MI 48183-1066 - Phone
- (734) 676-4040
- Fax
- (734) 676-9897
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Institute of Urology PC
Practice addresses (Care Compare)
18100 Oakwood Blvd
Suite 315
Dearborn, MI 48124-4085
Phone (313) 271-0066
19117 Allen Rd
Suite a
Brownstown TWP, MI 48183-1066
Phone (734) 676-4040
20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Corewell Health Trenton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.86 of 100
- Quality
- 81.01
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230525002255 | MI | Practitioner - Nurse Practitioner | 8022474584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physician Services of Michigan, P.C. | Nurse Practitioner | Current |
Accepting new patients |
| Michigan Institute of Urology PC | Current |
Accepting new patients | |
| Alliance Physician Services of Michigan, P.C. | Nurse Practitioner | Current | Accepting new patients |
Locations
19117 Allen Rd
#A
Brownstown Twp, MI 48183
Phone (734) 675-0835
18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124
Phone (313) 271-0066
20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704311492 | MI | Yes |
Addresses
Primary practice location
19117 Allen Rd Ste a
Brownstown TWP, MI 48183-1066
Mailing address
20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820
Other practice location 1
3837 Highview St
Trenton, MI 48183-3933
Phone (313) 720-7877
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704311492 | Other | MI | MI- STATE LICENSE |
Other providers in Brownstown TWP, MI
- Kamal A Gupta
- Nisha K Gupta
- Selima Hadad
- Carl Richard Haeger
- Crystal Hales
- Benjamin Lawrence Hanson
- Health Link Home Care, Inc
- Healthpro Heritage Rehab & Fitness, LLC
- Heather Zacur, PC
- Henry Ford Hospital
All providers in Brownstown TWP, MI · Acute Care Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.