Individual provider Active NPI

Michelle Kuligowski, NP

  • Critical Care Medicine Nurse Practitioner
  • Royal Oak, MI
National Provider Identifier
1679975569
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
4704214698 Issued in MI
Practice address
3535 W 13 Mile Rd Ste 344
Royal Oak, MI 48073-6770
Phone
(248) 551-0497
Fax
(248) 551-4556
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704214698 MI
Critical Care Medicine Nurse Practitioner 363LC0200X 4704214698 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd Ste 344
Royal Oak, MI 48073-6770

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

16310 W 12 Mile Rd
Southfield, MI 48076-2925
Phone (248) 288-1503

Other practice location 2

45779 Keding St
Utica, MI 48317-6019
Phone (586) 254-5228

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkuligowski1456872@epic00.shdirect.org

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
I20151130000807 MI Practitioner - Nurse Practitioner 6204136047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland College of Medicine and Surgery, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Nov 15, 2015 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Nov 15, 2015 Accepting new patients
Associated Retinal Consultants, PC PastSince Jul 1, 2016 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1679975569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 344",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-0497",
            "fax_number": "248-551-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16310 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762925",
            "country_code": "US",
            "telephone_number": "248-288-1503",
            "fax_number": "248-569-9196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45779 Keding St",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "MI",
            "postal_code": "483176019",
            "country_code": "US",
            "telephone_number": "586-254-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULIGOWSKI",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704214698",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MI",
            "license": "4704214698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkuligowski1456872@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "3535 W 13 Mile Rd Ste 344",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.