Individual provider Active NPI

Michelle Marie Trudeau, NP MS RN

  • Nurse Practitioner
  • Shelby Township, MI
National Provider Identifier
1689641441
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704174038 Issued in MI
Practice address
50505 Schoenherr Rd Ste 270
Shelby Township, MI 48315-3141
Phone
(586) 323-6058
Fax
(586) 500-8865
NPI assigned
Mar 1, 2006
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704174038 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd Ste 270
Shelby Township, MI 48315-3141

Mailing address

50505 Schoenherr Rd Ste 270
Shelby Township, MI 48315-3141
Phone (586) 323-6058

Other practice location 1

21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048
Phone (734) 464-0887

Other identifiers 1

IdentifierTypeStateIssuer
500F318890OtherMIBCBS

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
I20040505001539 MI Practitioner - Nurse Practitioner 7315935483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Medicine PLCGroup PAC ID 4880613637, 33 clinicians
Premier Wound Care PLLCGroup PAC ID 6103273719, 13 clinicians

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 340
Shelby Township, MI 48315-3140
Phone (586) 731-8400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Wound Care PLLC CurrentSince Aug 1, 2025 Accepting new patients
Great Lakes Medicine, PLC CurrentSince Aug 1, 2023 Accepting new patients
Inpatient Consultants of Michigan PC CurrentSince Dec 18, 2012 Accepting new patients
Mary E Barna DPM & Associates PC PastSince Mar 13, 2022 Accepting new patients
Alliance of Home Care Physicians, PC Past Accepting new patients
Traveling Medical Services PC Nurse Practitioner PastSince Mar 13, 2022 Accepting new patients

Locations

1746 Momentum Pl
Chicago, IL 60689

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

21401 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (586) 778-0800

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

34901 Division Rd
Richmond, MI 48062
Phone (586) 727-7562

46100 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 566-1100

50505 Schoenherr Rd
Ste 340
Shelby Township, MI 48315
Phone (586) 731-8400

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1689641441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 270",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-323-6058",
            "fax_number": "586-500-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 270",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153141",
            "telephone_number": "586-323-6058",
            "fax_number": "586-500-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21401 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482361048",
            "country_code": "US",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "NP MS RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704174038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "500F318890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.