Active NPI
Audrey Elizabeth Hua
- Family Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704327314
- Practice address
- 15400 W McNichols Rd
Detroit, MI 48235-3724 - Phone
- (313) 416-6262
- NPI assigned
- Apr 4, 2020
- 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 | 4704327314 | MI | Primary |
Addresses
Primary practice location
15400 W McNichols Rd
Detroit, MI 48235-3724
Mailing address
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-2175
Other practice location 1
5557 Cass Ave
Detroit, MI 48202-3615
Phone (616) 648-2112
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-1000
Hospital & facility affiliations
- Henry Ford Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Family | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Detroit Health Care for the Homeless | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000
Interoperability endpoints
- ahua514756@direct.hfhs.org
Organizations & group practices 3
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
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1982072963
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1760011472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 KERCHEVAL AVE",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363610",
"telephone_number": "313-640-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 W MCNICHOLS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353724",
"telephone_number": "313-416-6262"
}
],
"practiceLocations": [
{
"address_1": "5557 Cass Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023615",
"country_code": "US",
"telephone_number": "616-648-2112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUA",
"first_name": "AUDREY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-04",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704327314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.