Individual provider Active NPI

Veronica Ercolani, RN

  • Family Nurse Practitioner
  • Shelby TWP, MI
National Provider Identifier
1700475191
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704359454 Issued in MI
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

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208000938 MI Practitioner - Nurse Practitioner 3678922234 Reassigns benefits to 3 organizations

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
Craig Singer MD DermatologyGroup PAC ID 9032495742, 2 clinicians

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

LicenseStateTypeSpecialty
4704359454MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Cosmetic Center PLLC CurrentSince Dec 9, 2025 Accepting new patients
Craig Singer MD Dermatology CurrentSince Feb 5, 2026 Accepting new patients
Dermatology & Cosmetic Center of Bloomfield Hills PLLC CurrentSince Jan 5, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.