Individual provider Active NPI

Olivia Charlotte-Anne Murthy, FNP-C

  • Nurse Practitioner
  • Saint Clair Shores, MI
National Provider Identifier
1801316989
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704293882 Issued in MI
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

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20170721000510 MI Practitioner - Nurse Practitioner 4688944820 Reassigns benefits to 2 organizations

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 Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
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

LicenseStateTypeSpecialty
4704293882MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Lake Urgent Care PLLC CurrentSince Jun 20, 2017 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Jun 20, 2017 Accepting new patients
Royal Urgent Care, PLLC CurrentSince Jul 5, 2017 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 1, 2018 Accepting new patients
First Choice Urgent Care PC PastSince Jun 20, 2017 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.