Individual provider Active NPI

Constance Ann Biskelonis, NP

  • Adult Health Nurse Practitioner
  • Plymouth, MI
National Provider Identifier
1760657613
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
47041356860 Issued in MI
Practice address
40600 Ann Arbor Rd E Ste 201
Plymouth, MI 48170-4675
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Apr 22, 2008
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704135860 MI
Adult Health Nurse Practitioner 363LA2200X 47041356860 MI Primary

Addresses

Primary practice location

40600 Ann Arbor Rd E Ste 201
Plymouth, MI 48170-4675

Mailing address

9817 Eckles Rd
Plymouth, MI 48170-4544
Phone (734) 455-1087

Other practice location 1

3 E Main St
Milan, MI 48160-1248
Phone (734) 439-2388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47041356860MIMDAdult Health Nurse Practitioner
4704135860MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physician Solutions PC PastSince Dec 1, 2019 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1760657613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9817 ECKLES RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704544",
            "telephone_number": "734-455-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40600 ANN ARBOR RD E STE 201",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704675",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 E Main St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "MI",
            "postal_code": "481601248",
            "country_code": "US",
            "telephone_number": "734-439-2388",
            "fax_number": "734-439-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISKELONIS",
        "first_name": "CONSTANCE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704135860",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "47041356860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.