Individual provider Active NPI

Natalie Gabrielle Marcus, FNP-BC

  • Family Nurse Practitioner
  • West Bloomfield, MI
National Provider Identifier
1730603903
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704290349 Issued in MI
Practice address
1713 Poppleton Dr
West Bloomfield, MI 48324-1144
Phone
(248) 345-7291
NPI assigned
Jul 31, 2017
Last updated
Jul 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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 4704290349 MI Primary

Addresses

Primary practice location

1713 Poppleton Dr
West Bloomfield, MI 48324-1144

Mailing address

1713 Poppleton Dr
West Bloomfield, MI 48324-1144

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
I20170922001137 MI Practitioner - Nurse Practitioner 2365716891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Vein & Vascular PLLC CurrentSince Sep 11, 2017 Accepting new patients
Michigan Mobile Medicine, PLLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

43700 Woodward Ave
Ste 2
Bloomfield Hills, MI 48302

43700 Woodward Ave
Ste 207
Bloomfld Hls, MI 48302
Phone (248) 481-2100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1730603903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 POPPLETON DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 POPPLETON DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241144",
            "telephone_number": "248-345-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "NATALIE",
        "middle_name": "GABRIELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704290349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.