Individual provider Active NPI

Kristin McErlean

  • Adult Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1689237067
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704286746 Issued in MI
Practice address
1355 Oakman Blvd
Detroit, MI 48238-2849
Phone
(313) 758-6100
NPI assigned
Apr 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704286746 MI
Nurse Practitioner 363L00000X 4704286746 MI
Adult Health Nurse Practitioner 363LA2200X 4704286746 MI Primary

Addresses

Primary practice location

1355 Oakman Blvd
Detroit, MI 48238-2849

Mailing address

1355 Oakman Blvd
Detroit, MI 48238-2849
Phone (313) 758-6100

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
I20191127001226 MI Practitioner - Nurse Practitioner 0244662781 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704286746MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices Current Accepting new patients
Brian T. Gietzen, M. D., P. C. CurrentSince Oct 3, 2019 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Nov 1, 2025 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Nov 1, 2025 Accepting new patients

Locations

1355 Oakman Blvd
Detroit, MI 48238
Phone (313) 416-6262

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

1460 Walton Blvd
Ste 200
Rochester Hills, MI 48309
Phone (248) 650-1800

Organizations & group practices 4

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": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1689237067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382849",
            "telephone_number": "313-758-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382849",
            "telephone_number": "313-758-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCERLEAN",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-21",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704286746",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704286746",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704286746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.