Individual provider Active NPI

Kayla Myers, FNP-BC

  • Family Nurse Practitioner
  • Berkley, MI
National Provider Identifier
1740807882
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704304313 Issued in MI
Practice address
27901 Woodward Ave Ste 220
Berkley, MI 48072-0918
Phone
(248) 556-5582
Fax
(248) 850-7145
NPI assigned
Jul 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4704304313 MI Primary

Addresses

Primary practice location

27901 Woodward Ave Ste 220
Berkley, MI 48072-0918

Mailing address

1210 Miners Run
Rochester, MI 48306-4803
Phone (586) 536-0550

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
I20220114000504 MI Practitioner - Nurse Practitioner 8022400498 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704304313MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care & Pulmonary Consultants PLLC CurrentSince Jan 17, 2024 Accepting new patients

Locations

27901 Woodward Ave
Ste 220
Berkley, MI 48072
Phone (248) 399-5492

6255 Inkster Rd
Ste 307
Garden City, MI 48135
Phone (248) 556-5582

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

3601 W 13 Mile Rd
Royal Oak, MI 48073

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1740807882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MINERS RUN",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064803",
            "telephone_number": "586-536-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 WOODWARD AVE STE 220",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720918",
            "telephone_number": "248-556-5582",
            "fax_number": "248-850-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KAYLA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.