Individual provider Active NPI

Summer Callahan

  • Family Nurse Practitioner
  • Lake Orion, MI
National Provider Identifier
1700752128
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704406605 Issued in MI
Practice address
720 N Lapeer Rd Ste 202
Lake Orion, MI 48362-4011
Phone
(248) 690-7243
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 4704406605 MI Primary

Addresses

Primary practice location

720 N Lapeer Rd Ste 202
Lake Orion, MI 48362-4011

Mailing address

720 N Lapeer Rd Ste 202
Lake Orion, MI 48362-4011
Phone (248) 690-7243

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
I20251229000685 MI Practitioner - Nurse Practitioner 5698261709 Reassigns benefits to 1 organization

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
Hyperwell Oxygen Centers, LLC 2 clinicians

Practice addresses (Care Compare)

15150 Fort St
Suite B
Southgate, MI 48195-1302
Phone (734) 288-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704406605MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperwell Oxygen Centers LLC CurrentSince Nov 5, 2025 Accepting new patients
Cosmetic Dermatology and Vein Centers of Downriver PC CurrentSince Oct 21, 2025 Accepting new patients

Locations

720 N Lapeer Rd
Ste 202
Lake Orion, MI 48362
Phone (248) 202-4112

15150 Fort St
Ste B
Southgate, MI 48195
Phone (734) 288-7778

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1700752128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LAPEER RD STE 202",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483624011",
            "telephone_number": "248-690-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LAPEER RD STE 202",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483624011",
            "telephone_number": "248-690-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704406605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.