Individual provider Active NPI

Madison Walker

  • Family Nurse Practitioner
  • Brighton, MI
National Provider Identifier
1700504255
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704348881 Issued in MI
Practice address
6247 Grand River Rd Ste 400
Brighton, MI 48114-5326
Phone
(810) 215-7177
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 4704348881 MI Primary

Addresses

Primary practice location

6247 Grand River Rd Ste 400
Brighton, MI 48114-5326

Mailing address

10401 Lafollette Dr
Brighton, MI 48114-9625
Phone (810) 336-0529

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
I20220829001405 MI Practitioner - Nurse Practitioner 9032593868 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704348881MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Aug 22, 2022 Accepting new patients
Theoria Medical CurrentSince Aug 22, 2022 Accepting new patients
HPC Health PLLC CurrentSince Feb 12, 2024 Accepting new patients
Healthy Urgent Care, PLLC CurrentSince Feb 12, 2024 Accepting new patients

Locations

6247 Grand River Rd
Ste 400
Brighton, MI 48114
Phone (734) 434-3007

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

30488 Milford Rd
New Hudson, MI 48165
Phone (248) 412-3977

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

22990 Pontiac Trl
South Lyon, MI 48178
Phone (248) 667-9202

Organizations & group practices 5

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1700504255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LAFOLLETTE DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149625",
            "telephone_number": "810-336-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 GRAND RIVER RD STE 400",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145326",
            "telephone_number": "810-215-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704348881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.