Active NPI
Patrycja Lubas, N.P.
- Nurse Practitioner
- Troy, MI
National Provider Identifier
1669717146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704266629
- Practice address
- 4967 Crooks Rd
Ste. 130
Troy, MI 48098-5801 - Phone
- (248) 952-1601
- Fax
- (248) 952-0192
- NPI assigned
- Dec 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704266629 | MI | Primary |
Addresses
Primary practice location
4967 Crooks Rd
Ste. 130
Troy, MI 48098-5801
Mailing address
4967 Crooks Rd
Ste. 130
Troy, MI 48098-5801
Phone (248) 952-1601
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37674 Avon LN
Farmington Hills, MI 48331-3089
Phone (248) 556-4450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Solutions Group, LLC | Current | Accepting new patients |
Locations
123 S Main St
Ste 260
Royal Oak, MI 48067
Phone (248) 556-4450
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.
-
- Case Management Agency
- Royal Oak, MI
- NPI 1467869941
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1457591083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1669717146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 CROOKS RD",
"address_2": "STE. 130",
"city": "TROY",
"state": "MI",
"postal_code": "480985801",
"telephone_number": "248-952-1601",
"fax_number": "248-952-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4967 CROOKS RD",
"address_2": "STE. 130",
"city": "TROY",
"state": "MI",
"postal_code": "480985801",
"telephone_number": "248-952-1601",
"fax_number": "248-952-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBAS",
"first_name": "PATRYCJA",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704266629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.