Active NPI
Olivia Charlotte-Anne Murthy, FNP-C
- Nurse Practitioner
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704293882
- Practice address
- 23715 Little Mack Ave Ste a
Saint Clair Shores, MI 48080-1181 - Phone
- (586) 447-8021
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704293882 | MI | |
| Nurse Practitioner | 363L00000X | 4704293882 | MI | Primary |
Addresses
Primary practice location
23715 Little Mack Ave Ste a
Saint Clair Shores, MI 48080-1181
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
29355 Northwestern Hwy Ste 210
Southfield, MI 48034-1045
Phone (947) 522-1500
Other practice location 2
2510 S Telegraph Rd
Bloomfield Hills, MI 48302-0241
Phone (248) 454-0442
Other practice location 3
4080 Crooks Rd
Royal Oak, MI 48073-2428
Phone (248) 885-3275
Other names 1
- Ms. Olivia Charlotte-Anne Dickerson
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, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1295 S Linden Rd E
Flint, MI 48532-3498
130 Town Ctr Dr
Troy, MI 48084-1744
130 Town Ctr Dr
Suite 203
Troy, MI 48084
2446 Elizabeth Lake Rd
Waterford, MI 48328-3310
Hospital & facility affiliations
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital, Troy
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704293882 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Lake Urgent Care PLLC | Current | Accepting new patients | |
| Washington Urgent Care, PLLC | Current | Accepting new patients | |
| Royal Urgent Care, PLLC | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| First Choice Urgent Care PC | Past | Accepting new patients |
Locations
17412 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 258-8740
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000
2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344
1555 South Blvd E
Ste 360
Rochester Hills, MI 48307
Phone (248) 258-8740
2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307
4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080
3601 W 13 Mile Rd
Royal Oak, MI 48073
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
29355 Northwestern Hwy
Ste 210
Southfield, MI 48034
Phone (248) 356-7726
7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000
57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020
2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Waterford, MI
- NPI 1538585260
-
- Internal Medicine Physician
- Royal Oak, MI
- NPI 1952833196
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Urgent Care Clinic/Center
- Washington Township, MI
- NPI 1891045563
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1629201264
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1801316989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23715 LITTLE MACK AVE STE A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801181",
"telephone_number": "586-447-8021"
}
],
"practiceLocations": [
{
"address_1": "29355 Northwestern Hwy Ste 210",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480341045",
"country_code": "US",
"telephone_number": "947-522-1500",
"fax_number": "947-522-1506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2510 S Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Bloomfield Hills",
"state": "MI",
"postal_code": "483020241",
"country_code": "US",
"telephone_number": "248-454-0442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4080 Crooks Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480732428",
"country_code": "US",
"telephone_number": "248-885-3275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURTHY",
"first_name": "OLIVIA",
"middle_name": "CHARLOTTE-ANNE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704293882",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704293882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "DICKERSON",
"middle_name": "CHARLOTTE-ANNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.