Individual provider Active NPI

Scott Michael Slater, NP-C

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1821625179
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02201166 Issued in MI
Practice address
28477 Hoover Rd
Warren, MI 48093-5400
Phone
(586) 250-4040
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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 F02201166 MI Primary

Addresses

Primary practice location

28477 Hoover Rd
Warren, MI 48093-5400

Mailing address

28477 Hoover Rd
Warren, MI 48093-5400
Phone (586) 250-4040

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
I20211227001312 MI Practitioner - Nurse Practitioner 9234520388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

28477 Hoover Rd
Warren, MI 48093-5400
Phone (586) 250-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F02201166MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Sep 8, 2021 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 8, 2021 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

68560 Stoecker Ln
Richmond, MI 48062
Phone (586) 250-4040

1223 S Washington Ave
Royal Oak, MI 48067
Phone (248) 395-0080

28477 Hoover Rd
Warren, MI 48093
Phone (586) 250-4040

3803 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 221-7733

35640 W Michigan Ave
Wayne, MI 48184
Phone (517) 630-2446

309 Ecorse Rd
Ypsilanti, MI 48198
Phone (734) 484-0580

Interoperability endpoints

  • Direct secure messaging: scottslater@gammons.directglo.com
  • Direct secure messaging: sslater1151646@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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1821625179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28477 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935400",
            "telephone_number": "586-250-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28477 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935400",
            "telephone_number": "586-250-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F02201166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.