Individual provider Active NPI

Elizabeth Anne Mieloch, MSN, APRN, BC

  • Registered Nurse
  • Howell, MI
National Provider Identifier
1851328439
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704210153 Issued in MI
Practice address
620 Byron Rd
Howell, MI 48843-1002
Phone
(248) 259-6364
NPI assigned
Jun 27, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704210153 MI
Registered Nurse 163W00000X 4704210153 MI Primary

Addresses

Primary practice location

620 Byron Rd
Howell, MI 48843-1002

Mailing address

26335 Shumans Way
South Lyon, MI 48178-8614
Phone (248) 259-6364

Other practice location 1

26335 Shumans Way
South Lyon, MI 48178-8614
Phone (248) 259-6364

Other identifiers 1

IdentifierTypeStateIssuer
4721491MedicaidMI

Other names 1

  • Elizabeth Ann Whiteman Former name

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
I20050623000113 MI Practitioner - Nurse Practitioner 0446295158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7555 Grand River Rd
Brighton, MI 48114-9338
Phone (810) 854-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Mercy Livingston Hospital CurrentSince Jul 6, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC CurrentSince Jan 22, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Dec 1, 2023 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Jul 6, 2019 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jan 22, 2020 Accepting new patients
St Joseph Mercy Hospital Acute Care CurrentSince Jul 6, 2019 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Dec 1, 2023 Accepting new patients
St Joseph Mercy Hospital CurrentSince Jul 6, 2019 Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Organizations & group practices 11

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1851328439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26335 SHUMANS WAY",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788614",
            "telephone_number": "248-259-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "248-259-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26335 Shumans Way",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481788614",
            "country_code": "US",
            "telephone_number": "248-259-6364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIELOCH",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-01-24",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704210153",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704210153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4721491",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WHITEMAN",
            "middle_name": "ANN",
            "credential": "MSN, APRN, BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.