Individual provider Active NPI

Lamise Mohana, FNP-BC

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1841802584
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704353448 Issued in MI
Practice address
24924 Michigan Ave
Dearborn, MI 48124-1740
Phone
(313) 631-3550
Fax
(313) 789-1671
NPI assigned
Aug 22, 2020
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704353448 MI Primary
Registered Nurse 163W00000X 4704353448 MI

Addresses

Primary practice location

24924 Michigan Ave
Dearborn, MI 48124-1740

Mailing address

27044 Northmore St
Dearborn Heights, MI 48127-3644
Phone (313) 718-6892

Other practice location 1

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

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
I20230703002909 MI Practitioner - Nurse Practitioner 9436518867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephro-Care MD PLCGroup PAC ID 3971813635, 9 clinicians
Dermatology Institute of Detroit, PLLCGroup PAC ID 3678928900, 2 clinicians

Practice addresses (Care Compare)

19141 Greenfield Rd
Detroit, MI 48235-6007
Phone (313) 960-6605

24924 Michigan Ave
Dearborn, MI 48124-1740
Phone (313) 631-3550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
60.24
Improvement activities
40
Cost
69.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704353448MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Institute of Detroit PLLC CurrentSince Dec 1, 2025 Accepting new patients
Nephro-Care MD PLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

24924 Michigan Ave
Dearborn, MI 48124
Phone (313) 274-8522

19141 Greenfield Rd
Detroit, MI 48235
Phone (313) 835-8500

6255 Inkster Rd
Ste 201
Garden City, MI 48135
Phone (734) 425-7230

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00414

Organizations & group practices 2

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 4

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": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1841802584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27044 NORTHMORE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273644",
            "telephone_number": "313-718-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24924 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241740",
            "telephone_number": "313-631-3550",
            "fax_number": "313-789-1671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHANA",
        "first_name": "LAMISE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704353448",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704353448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.