Active NPI
Renee Annette Mirovsky, NP
- Adult Health Nurse Practitioner
- Auburn Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704195563
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704195563 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oakland Internists, PC | Current | Accepting new patients | |
| Internal Medicine Associates of Mt. Clemens, PC | Current | Accepting new patients | |
| Henry Ford Physician Partners | Current | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Current | Accepting new patients | |
| Henry Ford Physician Partners | Current | 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 | Past | 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.
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1427703602
-
- Internal Medicine Physician
- Auburn Hills, MI
- NPI 1083753255
-
- Nurse Practitioner
- Rochester, MI
- NPI 1427171511
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1841615648
-
- Clinical Medical Laboratory
- Mount Clemens, MI
- NPI 1669864708
-
dba Henry Ford Physician Partners - PCS
- Cardiovascular Disease Physician
- Dearborn, MI
- NPI 1366219651
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1306842190
-
- Primary Care Clinic/Center
- Waterford, MI
- NPI 1679523278
-
dba Oakland Health Associates of Waterford and Clarkston
- Psychiatry Physician
- Waterford, MI
- NPI 1861980609
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.