Individual provider Active NPI

Noveen Rehman, AGACNP

  • Medical-Surgical Registered Nurse
  • Detroit, MI
National Provider Identifier
1831883420
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
4704337876 Issued in MI
Practice address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone
(313) 966-3300
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WM0705X 4704337876 MI Primary

Addresses

Primary practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (248) 912-8080

Other practice location 1

1 Genesys Pkwy, Grand Blanc Twp, MI 48439
Grand Blanc Twp, MI 48439
Phone (810) 606-5000

Other practice location 2

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL https://www.dmc.org/home Other DMC
Other URL https://www.trinity-health.org/
Other URL https://healthcare.ascension.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
I20240402002675 MI Practitioner - Nurse Practitioner 5799123329 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced MD Specialty Care PLLCGroup PAC ID 0042673584, 2 clinicians
Mdslivenow PLLCGroup PAC ID 7214323336, 14 clinicians
Elite Prime Care PLLCGroup PAC ID 6709253669, 3 clinicians

Practice addresses (Care Compare)

16226 Grand River Ave
Detroit, MI 48227-1824
Phone (313) 960-6605

4100 Woodward Ave
Detroit, MI 48201-2173
Phone (313) 974-6533

8542 N Canton Ctr Rd
Canton, MI 48187-1310
Phone (734) 455-8310

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced MD Specialty Care PLLC Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Elite Prime Care PLLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Mdslivenow PLLC Single Specialty CurrentSince Mar 4, 2024 Accepting new patients
Michigan Hospitalists Associates PC Single Specialty PastSince Jan 5, 2025 Accepting new patients

Locations

8542 N Canton Center Rd
Canton, MI 48187
Phone (313) 974-6533

15400 N Commerce Dr
Dearborn, MI 48120
Phone (313) 960-6605

4353 Maple St
Dearborn, MI 48126
Phone (313) 908-0004

4353 Maple St
Ste A
Dearborn, MI 48126
Phone (313) 908-9004

20526 Plymouth Rd
Detroit, MI 48228
Phone (313) 273-3780

4100 Woodward Ave
Detroit, MI 48201
Phone (313) 449-7954

16226 Grand River Ave
Detroit, MI 48227
Phone (313) 836-5490

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1831883420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "248-912-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy, Grand Blanc Twp, MI 48439",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc Twp",
            "state": "MI",
            "postal_code": "48439",
            "country_code": "US",
            "telephone_number": "810-606-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44405 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483415023",
            "country_code": "US",
            "telephone_number": "248-858-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "NOVEEN",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MI",
            "license": "4704337876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.dmc.org/home",
            "affiliation": "Y",
            "affiliationName": "DMC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "health information exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information exchange",
            "address_1": "6071 W Outer Dr",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482352624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.trinity-health.org/",
            "affiliation": "N",
            "address_1": "44405 Woodward Ave",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://healthcare.ascension.org",
            "affiliation": "N",
            "address_1": "1 Genesys Pkwy, Grand Blanc Twp, MI 48439",
            "city": "Grand Blanc Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.