Individual provider Active NPI

Pasqualina Dilegge, NP

  • Adult Health Nurse Practitioner
  • Clinton Township, MI
National Provider Identifier
1700114683
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704207362 Issued in MI
Practice address
15945 19 Mile Rd
Suite 100
Clinton Township, MI 48038-1147
Phone
(586) 286-8677
Fax
(586) 286-8781
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704207362 MI Primary

Addresses

Primary practice location

15945 19 Mile Rd
Suite 100
Clinton Township, MI 48038-1147

Mailing address

15945 19 Mile Rd
Suite 100
Clinton Township, MI 48038-1147
Phone (586) 286-8677

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
I20170711002621 MI Practitioner - Nurse Practitioner 5597054627 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704207362MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Endoscopy & Surgery Center, L.L.C. CurrentSince Sep 1, 2018 Accepting new patients
Paramount Medical Group PC Current Accepting new patients
Pioneer Medical Associates P.C. Nurse Practitioner CurrentSince Sep 1, 2018 Accepting new patients
St. Clair Medical Associates, P.C. Past Accepting new patients

Locations

15945 19 Mile Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-0464

27560 Hoover Rd
Warren, MI 48093
Phone (586) 573-5890

Interoperability endpoints

  • Direct secure messaging: pdilegge207783@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDIBBA

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1700114683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-286-8677",
            "fax_number": "586-286-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-286-8677",
            "fax_number": "586-286-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEGGE",
        "first_name": "PASQUALINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704207362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.