Active NPI
Francesca Amber Vitale, RN
- Family Nurse Practitioner
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704326705
- Practice address
- 1 Genesys Pkwy
Grand Blanc, MI 48439-8065 - Phone
- (810) 606-5000
- NPI assigned
- Feb 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704326705 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704326705 | MI | Primary |
Addresses
Primary practice location
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Mailing address
2370 Old Hickory Blvd
Davison, MI 48423-2062
Phone (810) 790-4657
Other practice location 1
2370 Old Hickory Blvd
Davison, MI 48423-2062
Phone (810) 790-4657
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 N Caledonia Dr
Owosso, MI 48867-8844
Phone (989) 743-3491
4735 W Ranger Rd
Perrinton, MI 48871-9775
Phone (248) 860-4634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704326705 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blueberry Healthcare PC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients |
Locations
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
G4007 W Court St
Ste B
Flint, MI 48532
Phone (810) 399-9931
1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518
41795 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 449-1655
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
275 N Caledonia Dr
Owosso, MI 48867
Phone (989) 413-0753
4735 W Ranger Rd
Perrinton, MI 48871
Phone (989) 236-5371
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1457144933
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Family Medicine Physician
- Flint, MI
- NPI 1932980992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1659963239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 OLD HICKORY BLVD",
"city": "DAVISON",
"state": "MI",
"postal_code": "484232062",
"telephone_number": "810-790-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "810-606-5000"
}
],
"practiceLocations": [
{
"address_1": "2370 Old Hickory Blvd",
"address_purpose": "LOCATION",
"city": "Davison",
"state": "MI",
"postal_code": "484232062",
"country_code": "US",
"telephone_number": "810-790-4657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VITALE",
"first_name": "FRANCESCA",
"middle_name": "AMBER",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-05",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704326705",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704326705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.