Michelle Daldine

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

47042882 Issued in MI

Practice address

38481 Gail St
Clinton Township, MI 48036-1823

Phone

(586) 419-5545

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mdaldine1124362@direct.hfhs.org

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.

• Henry Ford Health Rochester Hospital

  • Neurology Physician
  • Rochester, MI
  • NPI 1366565442
  Medicare reassignment

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1821699844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38481 GAIL ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361823",
            "telephone_number": "586-419-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38481 GAIL ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361823",
            "telephone_number": "586-419-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALDINE",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "47042882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Daggy
• Debra L Dahl, PHD, LLP, LPC
• Kimberly Lynn Dailey, LBSW
• Dalcoma Internal Medicine, PLLC
• Dalcoma Pharmacopoeia, LLC
• Dale W. Beaumont, M.D., P.C.
• Laura Kathleen Dalla Vecchia, M.D.
• Emma Marie Damman
• Daniel Kulick DO, P.C.
• Jermaine Daniel

• Primary Care Nurse Practitioner in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.

Verify at the official NPI Registry.