Individual provider Active NPI

Daniel Masserang, NP

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1790301109
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704326897 Issued in MI
Practice address
4200 Whitehall Dr
Suite 150
Ann Arbor, MI 48105-9694
Phone
(734) 995-0308
Fax
(734) 222-3100
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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 4704326897 MI Primary

Addresses

Primary practice location

4200 Whitehall Dr
Suite 150
Ann Arbor, MI 48105-9694

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (347) 476-7667

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
I20200630002683 MI Practitioner - Nurse Practitioner 7911320429 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

1065 N Huron River Dr
Ypsilanti, MI 48197-3296

1255 E M
Pinckney, MI 48169-8133
Phone (734) 878-1000

19000 St Joes Pkwy
Livonia, MI 48152-1477

2305 Genoa Bus Park Dr
Brighton, MI 48114-7005

23200 Pontiac TRL
South Lyon, MI 48178-1983

29370 Plymouth Rd
Suite 100
Livonia, MI 48150-2399
Phone (734) 844-5212

4200 Whitehall Dr
Ann Arbor, MI 48105-9694

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5505 S Old US
Brighton, MI 48116-7524

5505 S Old US 23
101 Thimg Lifestyle Medicine Primary Care E
Brighton, MI 48116-7524
Phone (734) 887-7888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Services Corporation CurrentSince Jun 1, 2021 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Jun 25, 2020 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Jun 25, 2020 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince Jun 25, 2020 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Jun 25, 2020 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Jun 25, 2020 Accepting new patients
Iha Health Service Corporation CurrentSince Jun 1, 2021 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Jun 25, 2020 Accepting new patients
Doctors Urgent Care Southfield CurrentSince Sep 1, 2020 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Jun 25, 2020 Accepting new patients
Taylor Urgent Care PC CurrentSince Jun 25, 2020 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Jun 25, 2020 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

Interoperability endpoints

  • Direct secure messaging: dmasserang644463@direct.trinity-health.org
  • Direct secure messaging: dmasserang714352@direct.hfhs.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1790301109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "347-476-7667",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WHITEHALL DR",
            "address_2": "SUITE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059694",
            "telephone_number": "734-995-0308",
            "fax_number": "734-222-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSERANG",
        "first_name": "DANIEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704326897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.