Adhraa Alsana
Individual provider Active NPI Family Nurse Practitioner · Roseville, MI
NPI 1801749874 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1801749874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704370139 (MI)
- Practice address
- 25710 Kelly Rd
Roseville, MI 48066-4959 - Phone
- (586) 772-2600
- NPI assigned
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18535 W 12 Mile Rd
Suite a
Lathrup Village, MI 48076-2664
52750 Overlook TRL
Chesterfield, MI 48047-1484
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260521004291 | MI | Practitioner - Nurse Practitioner | 0345710190 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704370139 | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704370139 | MI | Yes |
Addresses
Primary practice location
25710 Kelly Rd
Roseville, MI 48066-4959
Mailing address
49140 W Woods Dr
Shelby Township, MI 48317-1854
Other providers in Roseville, MI
- All About Smiles Roseville P.C
- All Love Adult Care LLC
- Allied Internists PLLC
- Basem Almasri
- Alok Shukla Enterprises PC
- Joseph Philip Aluia
- Majid Alzagoum
- Asobari Amachree
- Amanda Stamm, LMSW
- America'S Best Contacts & Eyeglasses
All providers in Roseville, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.