Individual provider Active NPI

Tena Payton-Vance

  • Family Nurse Practitioner
  • Romulus, MI
National Provider Identifier
1700371085
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704228791 Issued in MI
Practice address
39079 Buckingham Dr
Romulus, MI 48174-6325
Phone
(313) 629-1400
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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 4704228791 MI Primary

Addresses

Primary practice location

39079 Buckingham Dr
Romulus, MI 48174-6325

Mailing address

39079 Buckingham Dr
Romulus, MI 48174-6325
Phone (313) 629-1400

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
I20200617001848 MI Practitioner - Nurse Practitioner 4880016039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hegira Health IncGroup PAC ID 3173429560, 41 clinicians

Practice addresses (Care Compare)

8623 N Wayne Rd
Suite 310
Westland, MI 48185-1137
Phone (734) 425-0636

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
87.8
Promoting interoperability
91
Improvement activities
40
Cost
82.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc. CurrentSince Sep 26, 2022 Accepting new patients
Hegira Health, Inc CurrentSince Sep 26, 2022 Accepting new patients

Locations

1403 Inkster Rd
Inkster, MI 48141
Phone (313) 565-2200

26184 Outer Dr
Lincoln Park, MI 48146
Phone (313) 389-7500

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

8623 N Wayne Rd
Ste 310
Westland, MI 48185
Phone (734) 513-7598

Organizations & group practices 2

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1700371085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39079 BUCKINGHAM DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481746325",
            "telephone_number": "313-629-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39079 BUCKINGHAM DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481746325",
            "telephone_number": "313-629-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON-VANCE",
        "first_name": "TENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704228791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

Verify at the official NPI Registry.