Individual provider Active NPI

Katherine Ansel

  • Acute Care Nurse Practitioner
  • Richmond, MI
National Provider Identifier
1831615400
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704306283 Issued in MI
Practice address
67267 S Main St
Richmond, MI 48062-1919
Phone
(586) 336-7333
NPI assigned
Aug 16, 2017
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 4704306283 MI Primary

Addresses

Primary practice location

67267 S Main St
Richmond, MI 48062-1919

Mailing address

12150 30 Mile Rd Ste 105
Washington, MI 48095-2035

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (517) 205-1431

Other practice location 2

12150 30 Mile Rd Ste 105
Washington, MI 48095-2035
Phone (586) 336-7333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kansel467295@direct.hfhs.org

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
I20171101002987 MI Practitioner - Nurse Practitioner 4183980485 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704306283MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 12, 2022 Accepting new patients
Henry Ford Health System Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Oct 27, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Oct 27, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
Henry Ford Macomb Hospital Corporation Nurse Practitioner CurrentSince Jan 12, 2022 Accepting new patients
Henry Ford Health System CurrentSince Mar 1, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation Nurse Practitioner Current Accepting new patients
Michigan Orthopedic & Spinal Surgery PLLC CurrentSince Jan 22, 2023 Accepting new patients

Locations

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#K17
Detroit, MI 48202
Phone (313) 916-2421

1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

67267 S Main St
Richmond, MI 48062
Phone (586) 727-4530

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

12150 30 Mile Rd
Ste 105
Washington Twp, MI 48095
Phone (586) 336-7333

Interoperability endpoints

  • Direct secure messaging: kansel467295@direct.hfhs.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1831615400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD STE 105",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67267 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621919",
            "telephone_number": "586-336-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "517-205-1431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12150 30 Mile Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "480952035",
            "country_code": "US",
            "telephone_number": "586-336-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSEL",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704306283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kansel467295@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

Verify at the official NPI Registry.