Active NPI
Monica Joanna Petela
- Nurse Practitioner
- Mount Clemens, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704322913
- Practice address
- 1030 Harrington St Ste 101
Mount Clemens, MI 48043-2967 - Phone
- (586) 468-8500
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704322913 | MI | Primary |
Addresses
Primary practice location
1030 Harrington St Ste 101
Mount Clemens, MI 48043-2967
Mailing address
1030 Harrington St Ste 101
Mount Clemens, MI 48043-2967
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 Harrington St
Suite 101
Mount Clemens, MI 48043-2967
Phone (586) 468-8500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| McLaren Macomb | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Nurse Practitioner | Current | Accepting new patients |
| Seton Health Corporation of Southeastern Michigan | Current | Accepting new patients | |
| McLaren Macomb | Past | Accepting new patients |
Locations
37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911
22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110
1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629
1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600
19229 Mack Ave
Ste 38
Grosse Pointe Woods, MI 48236
Phone (313) 647-3900
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
1030 Harrington St
Ste 101
Mount Clemens, MI 48043
Phone (586) 464-4010
22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
16001 W 9 Mile Rd
Fl 3
Southfield, MI 48075
Phone (248) 849-2600
11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080
30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
Nurse Practitioner
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1598177065
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Surgery Physician
- Detroit, MI
- NPI 1629272968
-
- Physical Therapy Clinic/Center
- Macomb, MI
- NPI 1487067260
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1831781632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 HARRINGTON ST STE 101",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 HARRINGTON ST STE 101",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432967",
"telephone_number": "586-468-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETELA",
"first_name": "MONICA",
"middle_name": "JOANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704322913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.