Active NPI
Chinyere Mercy Mbamah, FNP-C
- Primary Care Nurse Practitioner
- Southfield, MI
National Provider Identifier
1851855845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704197641
- Practice address
- 24111 Southfield Rd
Southfield, MI 48075-2841 - Phone
- (248) 557-8800
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704197641 | MI | Primary |
Addresses
Primary practice location
24111 Southfield Rd
Southfield, MI 48075-2841
Mailing address
28110 Rollcrest Rd
Farmington Hills, MI 48334-4018
Phone (248) 579-3051
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24831 Ryan Rd
Warren, MI 48091-3390
Phone (586) 619-7689
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.81 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 72.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704197641 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livewell Medical Group PLLC | Current | Accepting new patients | |
| Wound Care Solutions PLLC | Current | Accepting new patients |
Locations
3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286
2838 E Long Lake Rd
Ste 246
Troy, MI 48085
Phone (313) 312-3932
24831 Ryan Rd
Warren, MI 48091
Phone (586) 486-5037
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Hamtramck, MI
- NPI 1043096688
-
- Nurse Practitioner
- Troy, MI
- NPI 1194519645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1851855845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28110 ROLLCREST RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344018",
"telephone_number": "248-579-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24111 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752841",
"telephone_number": "248-557-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAMAH",
"first_name": "CHINYERE",
"middle_name": "MERCY",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704197641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.