Individual provider Active NPI

Alan Yassine, FNP

  • Family Nurse Practitioner
  • Wyandotte, MI
National Provider Identifier
1801786785
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704390031 Issued in MI
Practice address
1768 Ford Ave Ste a
Wyandotte, MI 48192-2306
Phone
(313) 888-8878
NPI assigned
Jul 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704390031 MI Primary

Addresses

Primary practice location

1768 Ford Ave Ste a
Wyandotte, MI 48192-2306

Mailing address

293 N Charlesworth St
Dearborn Heights, MI 48127-3607
Phone (313) 888-8878

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
I20250818001632 MI Practitioner - Nurse Practitioner 5890294821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyandotte Urgent Care ClinicGroup PAC ID 4183996150, 17 clinicians
Southshore Urgent Care PLLCGroup PAC ID 5698009777, 14 clinicians
Blue Water Urgent Care PLLCGroup PAC ID 8123427895, 22 clinicians

Practice addresses (Care Compare)

1768 Ford Ave
Wyandotte, MI 48192-2306
Phone (313) 377-5758

20789 Gibraltar Rd
Brownstown TWP, MI 48183-5087
Phone (734) 444-2961

35284 23 Mile Rd
New Baltimore, MI 48047-2096
Phone (586) 335-3573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704390031MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southshore Urgent Care PLLC. Single Specialty CurrentSince Jul 12, 2025 Accepting new patients
Wyandotte Urgent Care Clinic Single Specialty CurrentSince Jul 12, 2025 Accepting new patients
Blue Water Urgent Care PLLC Single Specialty CurrentSince Jul 12, 2025 Accepting new patients

Locations

2700 Pointe Tremble Rd
Algonac, MI 48001
Phone (810) 662-2827

20789 Gibraltar Rd
Brownstown Twp, MI 48183
Phone (734) 444-2961

3941 24th Ave
Fort Gratiot, MI 48059
Phone (810) 882-9373

35284 23 Mile Rd
New Baltimore, MI 48047
Phone (586) 335-3573

1768 Ford Ave
Ste A
Wyandotte, MI 48192
Phone (313) 888-8878

1768 Ford Ave
Wyandotte, MI 48192
Phone (313) 377-5758

Organizations & group practices 3

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 1

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": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1801786785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 N CHARLESWORTH ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273607",
            "telephone_number": "313-888-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 FORD AVE STE A",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306",
            "telephone_number": "313-888-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSINE",
        "first_name": "ALAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704390031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.