Individual provider Active NPI

Michael Tansingco, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, MI
National Provider Identifier
1750136560
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704207682 Issued in MI
Practice address
43 Melanie LN
Troy, MI 48098-1707
Phone
(586) 913-5944
NPI assigned
Apr 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704207682 MI Primary

Addresses

Primary practice location

43 Melanie LN
Troy, MI 48098-1707

Mailing address

43 Melanie LN
Troy, MI 48098-1707
Phone (586) 913-5944

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
I20240618004371 MI Practitioner - Nurse Practitioner 2264457753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Motor City Medical Group PLLCGroup PAC ID 0143552927, 5 clinicians
Elevate Wellness GroupGroup PAC ID 1355781667, 5 clinicians

Practice addresses (Care Compare)

1300 Broadway St
Suite 400
Detroit, MI 48226-2202
Phone (586) 335-2006

220 S Main St
Royal Oak, MI 48067-2676
Phone (248) 752-2051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704207682MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Motor City Medical Group PLLC CurrentSince May 3, 2024 Accepting new patients
Elevate Wellness Group CurrentSince Nov 1, 2024 Accepting new patients

Locations

1221 Bowers St
Unit 170
Birmingham, MI 48012
Phone (248) 755-8585

1300 Broadway St
Ste 400
Detroit, MI 48226
Phone (313) 312-5051

220 S Main St
Royal Oak, MI 48067
Phone (248) 216-4704

23100 Jefferson Ave
Saint Clair Shores, MI 48080
Phone (586) 335-2006

Organizations & group practices 2

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1750136560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MELANIE LN",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981707",
            "telephone_number": "586-913-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MELANIE LN",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981707",
            "telephone_number": "586-913-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSINGCO",
        "first_name": "MICHAEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704207682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.