Individual provider Active NPI

Selin Hong

  • Family Nurse Practitioner
  • Auburn Hills, MI
National Provider Identifier
1740928779
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704367346 Issued in MI
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

Updated by the provider on Nov 15, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2,550 clinicians

Practice addresses (Care Compare)

39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone (248) 344-6688

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704367346MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Family CurrentSince Feb 29, 2024 Accepting new patients
Warren Urgent Care PC CurrentSince Jun 20, 2023 Accepting new patients
Southgate Urgent Care PC CurrentSince Jun 20, 2023 Accepting new patients
Woodland Urgent Care LLC CurrentSince Jun 20, 2023 Accepting new patients
Henry Ford Health System CurrentSince Feb 29, 2024 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
Alpha Urgent Care PLLC PastSince Nov 20, 2022 Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.