NPIMap

Individual provider Active NPI

Nicole D Letarte, NP

  • Family Nurse Practitioner
  • Chesterfield, MI
National Provider Identifier
1689027625
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704285811 Issued in MI
Practice address
34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432
Phone
(586) 725-1770
Fax
(586) 725-4080
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704285811 MI Primary

Addresses

Primary practice location

34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432

Mailing address

34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432
Phone (586) 725-1770

Other identifiers 1

IdentifierTypeStateIssuer
4704285811OtherMINURSE PRACTITIONER LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole.letarte.fnpbc@direct.bayareafp.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119001816 MI Practitioner - Nurse Practitioner 7719269117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Family Physicians, P.C.Group PAC ID 8628040193, 13 clinicians

Practice addresses (Care Compare)

34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432
Phone (586) 725-1770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Family Physicians, P.C. Family CurrentSince Dec 14, 2016 Accepting new patients

Locations

34301 23 Mile Rd
Ste 100
Chesterfield, MI 48047
Phone (586) 725-1770

Interoperability endpoints

  • Direct secure messaging: nicole.letarte.1@24454.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24454/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 7

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1689027625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34301 23 MILE RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474432",
            "telephone_number": "586-725-1770",
            "fax_number": "586-725-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34301 23 MILE RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474432",
            "telephone_number": "586-725-1770",
            "fax_number": "586-725-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETARTE",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704285811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "4704285811",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.letarte.fnpbc@direct.bayareafp.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen Share",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34301 23 Mile Rd",
            "address_2": "Suite 100",
            "city": "Chesterfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480474432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.