NPIMap

Individual provider Active NPI

Dawn McIntyre, ANP-BC

  • Adult Health Nurse Practitioner
  • Wyandotte, MI
National Provider Identifier
1851635692
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704156917 Issued in MI
Practice address
1700 Biddle Ave
Wyandotte, MI 48192-7205
Phone
(734) 284-2026
Fax
(734) 284-8335
NPI assigned
Nov 17, 2012
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704156917 MI Primary

Addresses

Primary practice location

1700 Biddle Ave
Wyandotte, MI 48192-7205

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

3132 Newport Rd
Newport, MI 48166-6100
Phone (734) 586-9120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmcintyre119547@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130327000211 MI Practitioner - Nurse Practitioner 1254576036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

1700 Biddle Ave
Wyandotte, MI 48192-7205
Phone (734) 284-2026

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC CurrentSince Feb 13, 2013 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Feb 13, 2013 Accepting new patients
Oakwood Ambulatory, LLC Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

3132 Newport Rd
Newport, MI 48166
Phone (734) 586-9120

3132 Newport Rd
Ste 107
Newport, MI 48166

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

1700 Biddle Ave
Wyandotte, MI 48192
Phone (734) 284-2026

Interoperability endpoints

  • Direct secure messaging: dmcintyre119547@direct.beaumont.edu
  • Direct secure messaging: dmcintyre1246191@epic00.shdirect.org

Organizations & group practices 3

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 7

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": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1851635692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481927205",
            "telephone_number": "734-284-2026",
            "fax_number": "734-284-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3132 Newport Rd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "MI",
            "postal_code": "481666100",
            "country_code": "US",
            "telephone_number": "734-586-9120",
            "fax_number": "734-586-9125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704156917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmcintyre119547@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1700 Biddle Ave",
            "city": "Wyandotte",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481927205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.