Individual provider Active NPI

Richard H Declercq, AGACNP

  • Acute Care Nurse Practitioner
  • Novi, MI
National Provider Identifier
1821402678
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704207432 Issued in MI
Practice address
28455 Haggerty Rd Ste 200
Novi, MI 48377-2982
Phone
(248) 893-3200
Fax
(248) 893-2950
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704207432 MI Primary

Addresses

Primary practice location

28455 Haggerty Rd Ste 200
Novi, MI 48377-2982

Mailing address

6676 Solutions Ctr
Chicago, IL 60677-6006
Phone (248) 893-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

28455 Haggerty Rd
Suite 200
Novi, MI 48377-2982

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as group
Quality
95
Improvement activities
40
Cost
50.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Physicians, PC CurrentSince Jun 23, 2014 Accepting new patients
Rehabilitation Physicians PC Acute Care CurrentSince Jun 23, 2014 Accepting new patients

Locations

6676 Solutions Ctr
Chicago, IL 60677

3477 E Grand River Ave
Howell, MI 48843
Phone (248) 893-3200

28455 Haggerty Rd
Ste 200
Novi, MI 48377
Phone (248) 893-3200

Interoperability endpoints

  • Direct secure messaging: rdeclercq1124799@direct.hfhs.org

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1821402678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6676 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776006",
            "telephone_number": "248-893-3220",
            "fax_number": "248-893-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28455 HAGGERTY RD STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772982",
            "telephone_number": "248-893-3200",
            "fax_number": "248-893-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLERCQ",
        "first_name": "RICHARD",
        "middle_name": "H",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704207432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.