Dawn McIntyre, ANP-BC

Individual provider Active NPI Adult Health Nurse Practitioner · Wyandotte, MI

NPI 1851635692 · NPPES record last updated May 5, 2023

Key facts

NPI
1851635692
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
4704156917 (MI)
Practice address
1700 Biddle Ave
Wyandotte, MI 48192-7205
Phone
(734) 284-2026
Fax
(734) 284-8335
NPI assigned
Nov 17, 2012
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLC (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

  • Beaumont Hospital - Dearborn Hospital · Dearborn, MI · CCN 230020
  • Corewell Health Trenton Hospital Hospital · Trenton, MI · CCN 230176
  • Beaumont Hospital - Taylor Hospital · Taylor, MI · CCN 230270
  • Beaumont Hospital Royal Oak Hospital · Royal Oak, MI · CCN 230130

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704156917MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory, LLC Current
since Feb 13, 2013
Accepting new patients
Oakwood Ambulatory LLC Current
since 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

Specialties & licenses

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

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

TypeEndpointUseAffiliation
Direct Messaging Address dmcintyre119547@direct.beaumont.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2023.

{
    "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

All providers in Wyandotte, MI · Adult Health Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.