Individual provider Active NPI

Catherine Ann Yergenson, NP

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1811613268
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704349530 Issued in MI
Practice address
607 Shelby St Ste 770-1356
Detroit, MI 48226-3268
Phone
(815) 846-0871
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 Practitioner 363LF0000X 4704349530 MI Primary

Addresses

Primary practice location

607 Shelby St Ste 770-1356
Detroit, MI 48226-3268

Mailing address

32458 Hees St
Livonia, MI 48150-3721
Phone (734) 447-7386

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
I20250324002778 MI Practitioner - Nurse Practitioner 9739601311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

240 E N St
Hastings, MI 49058-1026
Phone (269) 945-9564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Applebaum Physiatry PLLC Family CurrentSince Feb 1, 2025 Accepting new patients
Nursing Home Physician Group PLLC Past Accepting new patients

Locations

128 S East St
Unit 1109
Crown Point, IN 46308

2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900

2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541

240 E North St
Hastings, MI 49058
Phone (269) 945-9564

Organizations & group practices 2

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1811613268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32458 HEES ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503721",
            "telephone_number": "734-447-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SHELBY ST STE 770-1356",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263268",
            "telephone_number": "815-846-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERGENSON",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704349530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.