Active NPI
Courtney Michelle Smith, NP
- Family Nurse Practitioner
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704297863
- 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, 2018
- 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 | 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704297863 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Family | Current | Accepting new patients |
| Carelon Medical Partners, PC | Current | Accepting new patients | |
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| Henry Ford Health System | Current | 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
- clences300027@direct.hfhs.org
- 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.
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1598177065
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
WI
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba Seton Medical Group Inc
- Physical Therapy Clinic/Center
- Macomb, MI
- NPI 1487067260
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1124640503
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.