Active NPI
Daniel Masserang, NP
- Family Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704326897
- 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
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 | 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
Enrollment records 1
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
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
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
- dmasserang644463@direct.trinity-health.org
- 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.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Urgent Care Clinic/Center
- Canton, MI
- NPI 1649712480
-
- Urgent Care Clinic/Center
- Chesterfield, MI
- NPI 1629547195
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1831610070
-
- Urgent Care Clinic/Center
- Commerce TWP, MI
- NPI 1952823825
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1326660929
-
- Urgent Care Clinic/Center
- Rochester Hills, MI
- NPI 1225554694
-
- Family Medicine Physician
- Shelby TWP, MI
- NPI 1285155119
-
- Urgent Care Clinic/Center
- Sterling Heights, MI
- NPI 1912413949
-
- Urgent Care Clinic/Center
- Taylor, MI
- NPI 1013321033
-
- Urgent Care Clinic/Center
- Troy, MI
- NPI 1720571227
-
- Urgent Care Clinic/Center
- Redford, MI
- NPI 1952791105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.