Individual provider Active NPI

Lija Turaida Moncrieff-Austin, FNP-C

  • Family Nurse Practitioner
  • Oxford, MI
National Provider Identifier
1780225441
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704239950 Issued in MI
Practice address
500 E Peninsula CT
Oxford, MI 48371-3669
Phone
(248) 515-6742
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 4704239950 MI Primary

Addresses

Primary practice location

500 E Peninsula CT
Oxford, MI 48371-3669

Mailing address

500 E Peninsula CT
Oxford, MI 48371-3669
Phone (248) 515-6742

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
I20240813000325 MI Practitioner - Nurse Practitioner 0941748719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Interventional Pain Associates PLLCGroup PAC ID 4385867266, 12 clinicians

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 2100
West Bloomfield, MI 48323-2191
Phone (248) 624-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Interventional Pain Associates PLLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

2300 Haggerty Rd
Ste 2100
West Bloomfield, MI 48323
Phone (248) 624-7246

Organizations & group practices 1

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1780225441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E PENINSULA CT",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483713669",
            "telephone_number": "248-515-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PENINSULA CT",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483713669",
            "telephone_number": "248-515-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEFF-AUSTIN",
        "first_name": "LIJA",
        "middle_name": "TURAIDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704239950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.