Individual provider Active NPI

Deangella Simpson, NP-C

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1700328135
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704183214 Issued in MI
Practice address
21650 W 11 Mile Rd Ste 202
Southfield, MI 48076-3777
Phone
(248) 327-6196
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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 4704183214 MI Primary

Addresses

Primary practice location

21650 W 11 Mile Rd Ste 202
Southfield, MI 48076-3777

Mailing address

21650 W 11 Mile Rd Ste 202
Southfield, MI 48076-3777
Phone (248) 327-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170117002271 MI Practitioner - Nurse Practitioner 2365724838 Reassigns benefits to 5 organizations
I20220425001398 OR Practitioner - Nurse Practitioner 2365724838 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704183214MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Center Family CurrentSince May 4, 2023 Accepting new patients
Workit Health Mi PLLC CurrentSince Nov 18, 2021 Accepting new patients
Modern Psych and Wellness PLLC CurrentSince Jan 2, 2026 Accepting new patients
Back on Track Medical Equipment LLC CurrentSince Jan 2, 2026 Accepting new patients
Lincoln Behavioral Services CurrentSince Mar 2, 2020 Accepting new patients
Greenfield and 9 Mile Medical Center PLLC CurrentSince Oct 1, 2017 Accepting new patients
Greenfield and 9 Mile Medical Center PLLC CurrentSince Oct 1, 2017 Accepting new patients
Lincoln Behavioral Services CurrentSince Mar 2, 2020 Accepting new patients
Workit Health Mi PLLC CurrentSince Nov 18, 2021 Accepting new patients
Theoria Medical CurrentSince Oct 21, 2024 Accepting new patients
Compassionate Services, LLC Current Accepting new patients
Integrated Physician Solutions PC PastSince Dec 5, 2016 Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

4436 Beecher Rd
Flint, MI 48532
Phone (810) 223-9324

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

20820 Greenfield Rd
Oak Park, MI 48237
Phone (248) 557-3303

9315 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500

23077 Greenfield Rd
Ste 455
Southfield, MI 48075
Phone (248) 794-6292

35200 Dequindre Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 826-8600

35200 Dequindre Rd
Sterling Hts, MI 48310
Phone (248) 689-1000

21415 Goddard Rd
Taylor, MI 48180
Phone (248) 667-8014

1915 NE Stucki Ave
Ste 400
Hillsboro, OR 97006
Phone (844) 408-0014

7185 SW Sandburg St
Ste 120
Tigard, OR 97223
Phone (503) 461-7106

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1700328135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763777",
            "telephone_number": "248-327-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763777",
            "telephone_number": "248-327-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DEANGELLA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704183214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.