Individual provider Active NPI

Karen Mary Meloche

  • Family Nurse Practitioner
  • Eastpointe, MI
National Provider Identifier
1811626229
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704294744 Issued in MI
Practice address
21501 Kelly Rd
Eastpointe, MI 48021-3213
Phone
(248) 336-4000
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 4704294744 MI Primary

Addresses

Primary practice location

21501 Kelly Rd
Eastpointe, MI 48021-3213

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000

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
I20241015003270 MI Practitioner - Nurse Practitioner 2466984448 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Physicians PLLC CurrentSince Aug 15, 2025 Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

20901 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 532-2000

18463 Livernois Ave
Detroit, MI 48221
Phone (313) 369-1500

4059 W Davison
Detroit, MI 48238
Phone (313) 491-5400

22480 Kelly Rd
Eastpointe, MI 48021
Phone (586) 585-9119

21501 Kelly Rd
Eastpointe, MI 48021
Phone (586) 498-9200

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121

4420 E Davison St
Hamtramck, MI 48212
Phone (313) 334-6711

26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110

29829 Telegraph Rd
Ste L100
Southfield, MI 48034

18000 W 9 Mile Rd
Ste 200
Southfield, MI 48075

29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411

29829 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 353-3500

18591 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 395-2234

28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180

Interoperability endpoints

  • Direct secure messaging: karen.meloche.1@33060.direct.athenahealth.com

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1811626229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754020",
            "telephone_number": "248-336-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213213",
            "telephone_number": "248-336-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOCHE",
        "first_name": "KAREN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704294744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.