Active NPI
Selin Hong
- Family Nurse Practitioner
- Auburn Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704367346
- Practice address
- 4179 Baldwin Rd
Auburn Hills, MI 48326-1225 - Phone
- (734) 464-0887
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704367346 | MI | Primary |
Addresses
Primary practice location
4179 Baldwin Rd
Auburn Hills, MI 48326-1225
Mailing address
4179 Baldwin Rd
Auburn Hills, MI 48326-1225
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220815000769 | MI | Practitioner - Nurse Practitioner | 3870976442 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Health System
Practice addresses (Care Compare)
39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone (248) 344-6688
Hospital & facility affiliations
- Henry Ford Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704367346 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Family | Current | Accepting new patients |
| Warren Urgent Care PC | Current | Accepting new patients | |
| Southgate Urgent Care PC | Current | Accepting new patients | |
| Woodland Urgent Care LLC | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Warren Urgent Care PC | Past | Accepting new patients | |
| Alpha Urgent Care PLLC | Past | Accepting new patients | |
| Southgate Urgent Care PC | Past | Accepting new patients |
Locations
22341 W 8 Mile Rd
Detroit, MI 48219
Phone (313) 326-4989
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710
14523 Northline Rd
Southgate, MI 48195
Phone (734) 324-7800
31700 Van Dyke Ave
Warren, MI 48093
Phone (586) 276-8130
L4380
Columbus, OH 43260
L4372
Columbus, OH 43260
Interoperability endpoints
- shong949692@direct.hfhs.org
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Family Medicine Physician
- Detroit, MI
- NPI 1841299435
-
- Health Service Clinic/Center
- Rochester Hills, MI
- NPI 1073304416
-
- Urgent Care Clinic/Center
- Southgate, MI
- NPI 1790967339
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1255513891
Hospital & facility affiliations 1
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": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1740928779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 BALDWIN RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483261225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4179 BALDWIN RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483261225",
"telephone_number": "734-464-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "SELIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704367346",
"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 Nov 15, 2022; 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.