Individual provider Active NPI

Nicole Kaminski, NP

  • Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1790527422
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022002079 Issued in MI
Practice address
31500 Telegraph Rd Ste 225
Bingham Farms, MI 48025-4315
Phone
(248) 552-0620
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022002079 MI Primary

Addresses

Primary practice location

31500 Telegraph Rd Ste 225
Bingham Farms, MI 48025-4315

Mailing address

31500 Telegraph Rd Ste 225
Bingham Farms, MI 48025-4315
Phone (248) 552-0620

Other names 1

  • Nicole Hanley Former name

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
I20241106002142 MI Practitioner - Nurse Practitioner 1658805155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newland Medical Associates, P.C.Group PAC ID 2668490251, 17 clinicians

Practice addresses (Care Compare)

31500 Telegraph Rd
Suite 10
Bingham Farms, MI 48025-4343
Phone (248) 552-0620

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022002079MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Ascension St John Hospital CurrentSince Oct 1, 2024 Accepting new patients
Newland Medical Associates, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Oct 1, 2024 Accepting new patients

Locations

31500 Telegraph Rd
Ste 010
Bingham Farms, MI 48025
Phone (248) 594-3201

31500 Telegraph Rd
Ste 225
Bingham Farms, MI 48025
Phone (248) 381-4600

31500 Telegraph Rd
Ste 10
Bingham Farms, MI 48025
Phone (248) 594-4913

5701 Bow Pointe Dr
Ste 335
Clarkston, MI 48346
Phone (248) 338-7171

47601 Grand River Ave
Ste 25
Novi, MI 48374

47601 Grand River Ave
Ste 2
Novi, MI 48374
Phone (248) 344-2000

22301 Foster Winter Dr
Southfield, MI 48075
Phone (248) 849-3541

Organizations & group practices 4

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1790527422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 225",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254315",
            "telephone_number": "248-552-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD STE 225",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254315",
            "telephone_number": "248-552-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "2022002079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HANLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.