Individual provider Active NPI

Renee Jennifer Herrmann, NP-C

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1689183287
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704266711 Issued in MI
Practice address
15959 Hall Rd Ste 100
Macomb, MI 48044-5364
Phone
(586) 416-5940
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 4704266711 MI Primary

Addresses

Primary practice location

15959 Hall Rd Ste 100
Macomb, MI 48044-5364

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-4352

Other practice location 1

14671 Telegraph Rd
Redford, MI 48239-3300
Phone (313) 948-3030

Other practice location 2

14671 Telegraph Rd
Redford, MI 48239-3300
Phone (313) 948-3030

Other practice location 3

10 Peterboro St
Detroit, MI 48201-2722
Phone (313) 831-3160

Other practice location 4

25631 Little Mack Ave Ste 203
Saint Clair Shores, MI 48081-2108
Phone (586) 443-2360

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rherrmann1237932@epic00.shdirect.org Direct
Direct Messaging Address rherrmann1237932@epic00.shdirect.org Direct

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
I20171108000203 MI Practitioner - Nurse Practitioner 4587920590 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

25631 Little Mack Ave
Suite 205
Saint Clair Shores, MI 48081-2108
Phone (586) 443-2380

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Central City Community Mental Health, Inc CurrentSince Jun 10, 2019 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Sep 30, 2024 Accepting new patients
Detroit Central City Community Mental Health Inc. Current Accepting new patients
Taylor Urgent Care PC CurrentSince Oct 15, 2017 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Oct 15, 2017 Accepting new patients
Detroit Central City Community Mental Health Inc. CurrentSince Jun 10, 2019 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

10 Peterboro St
Detroit, MI 48201
Phone (313) 221-8595

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

15959 Hall Rd
Ste 100
Macomb, MI 48044
Phone (586) 416-5940

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

25631 Little Mack Ave
Ste 203
Saint Clair Shores, MI 48081
Phone (586) 443-2360

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

Interoperability endpoints

  • Direct secure messaging: rherrmann12270@direct.hfhs.org
  • Direct secure messaging: rherrmann1237932@epic00.shdirect.org

Organizations & group practices 9

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 2

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1689183287",
    "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",
            "telephone_number": "947-522-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15959 HALL RD STE 100",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445364",
            "telephone_number": "586-416-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14671 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393300",
            "country_code": "US",
            "telephone_number": "313-948-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14671 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393300",
            "country_code": "US",
            "telephone_number": "313-948-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Peterboro St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012722",
            "country_code": "US",
            "telephone_number": "313-831-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25631 Little Mack Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480812108",
            "country_code": "US",
            "telephone_number": "586-443-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "RENEE",
        "middle_name": "JENNIFER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704266711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rherrmann1237932@epic00.shdirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25631 Little Mack Ave Ste 203",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480812108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rherrmann1237932@epic00.shdirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15959 Hall Rd Ste 100",
            "city": "Macomb",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480445364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.