Individual provider Active NPI

Christine Weglarz, MSN,ANP-BC,CDE

  • Adult Health Nurse Practitioner
  • Berkley, MI
National Provider Identifier
1679839161
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704190410 Issued in MI
Practice address
28905 Woodward Ave
Berkley, MI 48072-0923
Phone
(248) 551-7508
Fax
(248) 551-7580
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704190410 MI
Adult Health Nurse Practitioner 363LA2200X 4704190410 MI Primary

Addresses

Primary practice location

28905 Woodward Ave
Berkley, MI 48072-0923

Mailing address

28905 Woodward Ave
Berkley, MI 48072-0923
Phone (248) 551-7508

Other practice location 1

15959 Hall Rd Ste 203
Macomb, MI 48044-5366
Phone (586) 416-6216

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cweglarz84141@direct.beaumont.edu

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
I20140115000867 MI Practitioner - Nurse Practitioner 3779711957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sylmara E. Chatman M.D. P.C.Group PAC ID 5092841577, 3 clinicians

Practice addresses (Care Compare)

17603 W 10 Mile Rd
Southfield, MI 48075-2756
Phone (248) 569-8420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704190410MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sylmara E. Chatman M.D. P.C. CurrentSince Jun 20, 2025 Accepting new patients

Locations

17603 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 346-4264

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1679839161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28905 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720923",
            "telephone_number": "248-551-7508",
            "fax_number": "248-551-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28905 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720923",
            "telephone_number": "248-551-7508",
            "fax_number": "248-551-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15959 Hall Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480445366",
            "country_code": "US",
            "telephone_number": "586-416-6216",
            "fax_number": "586-416-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEGLARZ",
        "first_name": "CHRISTINE",
        "credential": "MSN,ANP-BC,CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704190410",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704190410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cweglarz84141@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "15959 Hall Rd Ste 203",
            "city": "Macomb",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480445366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.