Individual provider Active NPI

Anne Katoula, FNP-BC

  • Family Nurse Practitioner
  • Shelby Township, MI
National Provider Identifier
1821801655
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704314781 Issued in MI
Practice address
46961 Van Dyke Ave
Shelby Township, MI 48317-6078
Phone
(586) 991-5205
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 Practitioner 363LF0000X 4704314781 MI Primary

Addresses

Primary practice location

46961 Van Dyke Ave
Shelby Township, MI 48317-6078

Mailing address

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 488-6812

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
I20250213003260 MI Practitioner - Nurse Practitioner 3375073711 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton Urgent Care Walk-in Clinic PCGroup PAC ID 4486934452, 4 clinicians
Shelby Urgent Care Walk-in ClinicGroup PAC ID 6800155417, 3 clinicians

Practice addresses (Care Compare)

43033 Ford Rd
Canton, MI 48187-3375
Phone (734) 927-5050

46961 Van Dyke Ave
Shelby Township, MI 48317-4379
Phone (586) 991-5205

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ypsilanti Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Doctors Urgent Care Sterling Heights West CurrentSince Jan 30, 2025 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Taylor Urgent Care PC CurrentSince Jan 30, 2025 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Jan 30, 2025 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC CurrentSince Jan 30, 2025 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Doctors Urgent Care Troy West PC CurrentSince Jan 30, 2025 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Jan 30, 2025 Accepting new patients
Doctors Urgent Care Southfield Past Accepting new patients

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

2161 18 Mile Rd
Sterling Heights, MI 48314
Phone (248) 250-6420

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

1933 W Maple Rd
Troy, MI 48084
Phone (248) 250-6420

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

301 W Michigan Ave
Ypsilanti, MI 48197
Phone (734) 221-5440

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1821801655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46961 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-488-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46961 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483176078",
            "telephone_number": "586-991-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATOULA",
        "first_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704314781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.