Organization Active NPI

Emerge Health and Wellness

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1699330563
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EMERGE HEALTH AND WELLNESS
Practice address
1397 N Monroe St
Monroe, MI 48162-5360
Phone
(734) 243-3420
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Terrilynn L Primeau
Title
Biller
Phone
(734) 243-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1397 N Monroe St
Monroe, MI 48162-5360

Mailing address

1397 N Monroe St
Monroe, MI 48162-5360
Phone (734) 243-3420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190729001601 MI Part B Supplier - Clinic/Group Practice 6002142049 Receives reassigned benefits from 5 practitioners
Practice locations: Monroe, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2167534Emerge Health and Wellness1397 N Monroe, Monroe, MI 48162Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

1397 N Monroe St
Monroe, MI 48162
Phone (734) 243-3420

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1699330563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625360",
            "telephone_number": "734-243-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625360",
            "telephone_number": "734-243-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "PRIMEAU",
        "authorized_official_first_name": "TERRILYNN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "734-243-3420"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.