Individual provider Active NPI

Sheena Green-McCree

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1790659605
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704374814 Issued in MI
Practice address
43996 Woodward Ave Ste 5
#1049
Bloomfield Hills, MI 48302-5049
Phone
(248) 509-4716
NPI assigned
Oct 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704374814 MI Primary
Nurse Practitioner 363L00000X 4704374814 MI
Registered Nurse 163W00000X 4704374814 MI

Addresses

Primary practice location

43996 Woodward Ave Ste 5
#1049
Bloomfield Hills, MI 48302-5049

Mailing address

43996 Woodward Ave Ste 5
#1049
Bloomfield Hills, MI 48302-5049

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
I20260427000318 MI Practitioner - Nurse Practitioner 0648747717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704374814MIMDRegistered Nurse

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": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1790659605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE STE 5",
            "address_2": "#1049",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE STE 5",
            "address_2": "#1049",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025049",
            "telephone_number": "248-509-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-MCCREE",
        "first_name": "SHEENA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704374814",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704374814",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704374814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.