Individual provider Active NPI

Ann Forde

  • Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1710953724
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704168467 Issued in MI
Practice address
44300 Dequindre Rd
Family Medicine Center
Sterling Heights, MI 48314-1003
Phone
(248) 964-0400
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704168467 MI Primary

Addresses

Primary practice location

44300 Dequindre Rd
Family Medicine Center
Sterling Heights, MI 48314-1003

Mailing address

3601 W 13 Mile Rd
400-FSC/PCS
Royal Oak, MI 48073-6712

Other identifiers 2

IdentifierTypeStateIssuer
4644623MedicaidMI
500F318190OtherMIBCBSM

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
I20041115000024 MI Practitioner - Nurse Practitioner 2163486762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Endocrine Consultants PCGroup PAC ID 2466357496, 6 clinicians

Practice addresses (Care Compare)

31500 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4368
Phone (248) 543-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Endocrine Consultants PC CurrentSince Dec 7, 2020 Accepting new patients
Zawaideh Medical Center PC Past Accepting new patients

Locations

31500 Telegraph Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 543-3700

3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481

Interoperability endpoints

  • Direct secure messaging: annforde@tfppllc.allscriptsdirect.net
  • Direct secure messaging: ann.forde.1@19270.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1710953724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "address_2": "400-FSC/PCS",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44300 DEQUINDRE RD",
            "address_2": "FAMILY MEDICINE CENTER",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141003",
            "telephone_number": "248-964-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDE",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704168467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4644623",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "500F318190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.