Individual provider Active NPI

Cara Peterson, MSN, BSN, FNP-C, RN

  • Family Nurse Practitioner
  • Royal Oak, MI
National Provider Identifier
1720443476
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704267727 Issued in MI
Practice address
3450 W 13 Mile Rd
Royal Oak, MI 48073-6703
Phone
(734) 664-6056
Fax
(248) 243-8946
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 4704267727 MI Primary

Addresses

Primary practice location

3450 W 13 Mile Rd
Royal Oak, MI 48073-6703

Mailing address

3450 W 13 Mile Rd
Royal Oak, MI 48073-6703
Phone (734) 664-6056

Other names 1

  • Cara Deutchman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL, OH, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230430000050 MI Practitioner - Nurse Practitioner 6608144431 Reassigns benefits to 2 organizations
I20241126003060 IL Practitioner - Nurse Practitioner 6608144431 Reassigns benefits to 1 organization
I20250507001906 OH Practitioner - Nurse Practitioner 6608144431 Reassigns benefits to 1 organization
I20250611000462 IN Practitioner - Nurse Practitioner 6608144431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
Encore Geriatrics PLLCGroup PAC ID 6507128774, 6 clinicians

Practice addresses (Care Compare)

131 N Wheeling St
Toledo, OH 43605-1544
Phone (419) 724-1414

2013 Midwest Rd
Oak Brook, IL 60523-1312
Phone (630) 495-0220

5025 McCook Ave
East Chicago, IN 46312-3759
Phone (219) 397-0380

801 W Big Beaver Rd
Suite 300
Troy, MI 48084-4725
Phone (248) 809-4357

8365 N Newburgh Rd
Four Seasons
Westland, MI 48185-1149
Phone (734) 416-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Family CurrentSince Jan 11, 2024 Accepting new patients
Encore Geriatrics PLLC CurrentSince Apr 20, 2023 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients

Locations

5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186

2345 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1300

2013 Midwest Rd
Oak Brook, IL 60523
Phone (630) 495-0220

128 S East St
Unit 1109
Crown Point, IN 46308

2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900

200 N Canton Center Rd
Canton, MI 48187
Phone (734) 656-8883

2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541

520 Main St
#M
Manistique, MI 49854
Phone (906) 341-6921

22950 Northline Rd
Taylor, MI 48180
Phone (734) 287-1230

801 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 658-8424

8365 N Newburgh Rd
#Four
Westland, MI 48185
Phone (734) 416-2000

131 N Wheeling St
Toledo, OH 43605
Phone (419) 693-0751

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.

Hospital & facility affiliations 1

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": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1720443476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736703",
            "telephone_number": "734-664-6056",
            "fax_number": "248-243-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736703",
            "telephone_number": "734-664-6056",
            "fax_number": "248-243-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CARA",
        "name_prefix": "Ms.",
        "credential": "MSN, BSN, FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704267727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "DEUTCHMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.