Active NPI
Paul Bednarski, MSN, RN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dearborn, MI
National Provider Identifier
1700650660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704314702
- Practice address
- 3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Nov 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704314702 | MI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704314702 | MI | Primary |
Addresses
Primary practice location
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Mailing address
2327 9TH St
Wyandotte, MI 48192-4361
Phone (734) 306-2744
Other practice location 1
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 306-2744
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250305003407 | MI | Practitioner - Nurse Practitioner | 7012438146 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neurology and Pain Management Associates PC
Practice addresses (Care Compare)
3200 Greenfield Rd
Suite 300
Dearborn, MI 48120-1805
Phone (574) 546-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology and Pain Management Associates PC | Adult Health | Current | Accepting new patients |
Locations
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Crown Point, IN
- NPI 1518900620
Adult Health, MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1700650660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 9TH ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924361",
"telephone_number": "734-306-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 GREENFIELD RD STE 300",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201805",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "2333 Biddle Ave",
"address_purpose": "LOCATION",
"city": "Wyandotte",
"state": "MI",
"postal_code": "481924668",
"country_code": "US",
"telephone_number": "734-306-2744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEDNARSKI",
"first_name": "PAUL",
"credential": "MSN, RN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-10",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704314702",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704314702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.