Individual provider Active NPI

Vesna Sokolova, NP

  • Nurse Practitioner
  • Oak Park, MI
National Provider Identifier
1730431099
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704295293 Issued in MI
Practice address
21700 Greenfield Rd Ste 203
Oak Park, MI 48237-2879
Phone
(248) 967-0115
Fax
(313) 369-1728
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704295293 MI
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 4704295293 MI Primary

Addresses

Primary practice location

21700 Greenfield Rd Ste 203
Oak Park, MI 48237-2879

Mailing address

17141 Ryan Rd
Detroit, MI 48212-1112
Phone (313) 369-1717

Other names 1

  • Vesna Boggess Former name

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
I20211227000571 MI Practitioner - Nurse Practitioner 2668863804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chronic Care Management LLCGroup PAC ID 7214150770, 10 clinicians
Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, shared by 2 NPIs, 71 clinicians

Practice addresses (Care Compare)

815 Business Park Dr
Suite a
Traverse City, MI 49686-8683
Phone (231) 421-6921

9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Phone (231) 941-8100

Hospital & facility affiliations

  • Residential Home Health and Hospice Home health agency, Saginaw, MI, CCN 239152
  • Advisacare Solutions of Northern Michigan, LLC Home health agency, Charlevoix, MI, CCN 237042
  • Bayside Wellness, LLC Home health agency, Traverse City, MI, CCN 239356
  • Munson Home Care Home health agency, Traverse City, MI, CCN 237025
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chronic Care Management LLC Registered Nurse CurrentSince Feb 1, 2024 Accepting new patients
City Medical P C Single Specialty CurrentSince Apr 22, 2024 Accepting new patients

Locations

204 W Buttles St
Midland, MI 48640

13636 Dix Toledo Rd
Southgate, MI 48195
Phone (313) 283-2262

815 Business Park Dr
#A
Traverse City, MI 49686
Phone (231) 421-6921

Interoperability endpoints

  • Direct secure messaging: npalliative.vesnasokolova@149243.advancedmd-direct.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 5

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1730431099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17141 RYAN RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121112",
            "telephone_number": "313-369-1717",
            "fax_number": "313-369-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD STE 203",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372879",
            "telephone_number": "248-967-0115",
            "fax_number": "313-369-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOVA",
        "first_name": "VESNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704295293",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704295293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VESNA",
            "last_name": "BOGGESS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.