Individual provider Active NPI

Renee Annette Mirovsky, NP

  • Adult Health Nurse Practitioner
  • Auburn Hills, MI
National Provider Identifier
1740461185
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704195563 Issued in MI
Practice address
3100 Cross Creek Pkwy Ste 220
Auburn Hills, MI 48326-2776
Phone
(248) 377-0600
Fax
(248) 377-0606
NPI assigned
Nov 14, 2007
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704195563 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy Ste 220
Auburn Hills, MI 48326-2776

Mailing address

43411 Garfield Rd Ste B
Clinton Township, MI 48038-1152
Phone (248) 377-0600

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
I20100817001545 MI Practitioner - Nurse Practitioner 0345251906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oakland Internists, PCGroup PAC ID 8729150131, 3 clinicians
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

3100 Cross Creek Pkwy
Suite 220
Auburn Hills, MI 48326-2776
Phone (248) 377-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704195563MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Oakland Internists, PC CurrentSince Feb 16, 2018 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Henry Ford Physician Partners CurrentSince Nov 1, 2025 Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Apr 1, 2016 Accepting new patients
Henry Ford Physician Partners CurrentSince Nov 1, 2025 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Alliance Health Professionals, PLLC Current Accepting new patients
New Image Body and Wellness Clinic, PC Past Accepting new patients
Oakland Health Associate of Waterford Clarkston PastSince Apr 19, 2025 Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 220
Auburn Hills, MI 48326
Phone (248) 377-0600

43411 Garfield Rd
Ste B
Clinton Twp, MI 48038
Phone (586) 203-1260

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1740461185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43411 GARFIELD RD STE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381152",
            "telephone_number": "248-377-0600",
            "fax_number": "248-377-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY STE 220",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262776",
            "telephone_number": "248-377-0600",
            "fax_number": "248-377-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIROVSKY",
        "first_name": "RENEE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704195563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.