Individual provider Active NPI

Celestine Mba Arreytta

  • Family Nurse Practitioner
  • West Bloomfield, MI
National Provider Identifier
1811784705
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704340414 Issued in MI
Practice address
5540 Royal Wood
West Bloomfield, MI 48322-2065
Phone
(248) 818-3512
NPI assigned
Apr 23, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 4704340414 MI Primary

Addresses

Primary practice location

5540 Royal Wood
West Bloomfield, MI 48322-2065

Mailing address

5540 Royal Wood
West Bloomfield, MI 48322-2065
Phone (248) 818-3512

Other names 1

  • Celestine Arreytta 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
I20250529000702 MI Practitioner - Nurse Practitioner 0143749531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

9317 Vienna Rd
Montrose, MI 48457-9729
Phone (810) 639-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704340414MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest M PLLC Single Specialty CurrentSince Sep 21, 2025 Accepting new patients
Theoria Medical Single Specialty CurrentSince Jul 5, 2025 Accepting new patients
Wings of Angel Home Health Care, LLC PastSince May 1, 2025 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

9317 Vienna Rd
Montrose, MI 48457
Phone (810) 639-6171

1524 Portabella Trl
Mt Pleasant, MI 48858
Phone (989) 772-2967

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1811784705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 ROYAL WOOD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222065",
            "telephone_number": "248-818-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 ROYAL WOOD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222065",
            "telephone_number": "248-818-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREYTTA",
        "first_name": "CELESTINE",
        "middle_name": "MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704340414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTINE",
            "last_name": "ARREYTTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.