Active NPI
Richard H Declercq, AGACNP
- Acute Care Nurse Practitioner
- Novi, MI
National Provider Identifier
1821402678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704207432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 50.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Physicians, PC | Current | Accepting new patients | |
| Rehabilitation Physicians PC | Acute Care | Current | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Novi, MI
- NPI 1891783916
Acute Care
-
- Prosthetic/Orthotic Supplier
- Novi, MI
- NPI 1598190902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.