Individual provider Active NPI

Courtney Michelle Smith, NP

  • Family Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1760971691
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704297863 Issued in MI
Practice address
244 Woodview CT Apt 308
Rochester Hills, MI 48307-4193
Phone
(734) 558-2250
NPI assigned
May 7, 2018
Last updated
May 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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 4704297863 MI Primary

Addresses

Primary practice location

244 Woodview CT Apt 308
Rochester Hills, MI 48307-4193

Mailing address

244 Woodview CT Apt 308
Rochester Hills, MI 48307-4193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190913002968 MI Practitioner - Nurse Practitioner 8123357258 Reassigns benefits to 2 organizations
I20260113002859 WI Practitioner - Nurse Practitioner 8123357258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704297863MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Family CurrentSince Dec 12, 2019 Accepting new patients
Carelon Medical Partners, PC CurrentSince Jan 6, 2026 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Aug 15, 2019 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Aug 15, 2019 Accepting new patients
Henry Ford Health System CurrentSince Dec 12, 2019 Accepting new patients
Caremore Health Medical Partners, PC Past Accepting new patients

Locations

12898 Towne Center Dr
Cerritos, CA 90703
Phone (562) 741-4420

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

74 S Elk St
Sandusky, MI 48471
Phone (810) 487-4676

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

11414 W Park Pl
Ste 202
Milwaukee, WI 53224
Phone (414) 292-7060

Interoperability endpoints

  • Direct secure messaging: clences300027@direct.hfhs.org
  • Direct secure messaging: csmith31309@carelonhealth.direct-ci.com

Organizations & group practices 6

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1760971691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WOODVIEW CT APT 308",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WOODVIEW CT APT 308",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074193",
            "telephone_number": "734-558-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704297863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.