Active NPI
Veronica Ercolani, RN
- Family Nurse Practitioner
- Shelby TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704359454
- Practice address
- 5567 Auburn Rd
Shelby TWP, MI 48317-4119 - Phone
- (586) 946-0423
- NPI assigned
- Jan 11, 2021
- Reactivated
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704359454 | MI | Primary |
| Registered Nurse | 163W00000X | 4704359454 | MI |
Addresses
Primary practice location
5567 Auburn Rd
Shelby TWP, MI 48317-4119
Mailing address
5567 Auburn Rd
Shelby TWP, MI 48317-4119
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31000 Telegraph Rd
Suite 260
Bingham Farms, MI 48025-4324
Phone (248) 792-3785
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704359454 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology & Cosmetic Center PLLC | Current | Accepting new patients | |
| Craig Singer MD Dermatology | Current | Accepting new patients | |
| Dermatology & Cosmetic Center of Bloomfield Hills PLLC | Current | Accepting new patients |
Locations
31000 Telegraph Rd
Ste 260
Bingham Farms, MI 48025
Phone (248) 792-3785
39533 Woodward Ave
#155
Bloomfield Hills, MI 48304
Phone (947) 500-3376
5097 Miller Rd
#1
Flint, MI 48507
Phone (810) 422-5145
4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00340
Organizations & group practices 3
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.
-
- Dermatology Physician
- Bingham Farms, MI
- NPI 1154868545
-
- Dermatology Physician
- Bloomfield Hills, MI
- NPI 1073479945
-
- Dermatology Physician
- Flint, MI
- NPI 1811605660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1700475191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5567 AUBURN RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483174119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5567 AUBURN RD",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483174119",
"telephone_number": "586-946-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERCOLANI",
"first_name": "VERONICA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"deactivation_date": "2021-11-18",
"reactivation_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704359454",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704359454",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.