Individual provider Active NPI

Anna Vodopyanov, NP

  • Family Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1861077968
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704318664 Issued in MI
Practice address
28701 Plymouth Rd
Livonia, MI 48150-2419
Phone
(734) 427-9900
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704318664 MI Primary

Addresses

Primary practice location

28701 Plymouth Rd
Livonia, MI 48150-2419

Mailing address

1213 Waterways Dr
Ann Arbor, MI 48108-2783
Phone (734) 846-4779

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
I20211110001908 MI Practitioner - Nurse Practitioner 7214326370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Geriatric Consultants PLCGroup PAC ID 1951370386, 4 clinicians

Practice addresses (Care Compare)

16100 N Haggerty Rd
Plymouth, MI 48170-4857
Phone (734) 420-4000

28701 Plymouth Rd
Livonia, MI 48150-2335
Phone (734) 427-9900

35700 Hunter Ave
Westland, MI 48185-8137
Phone (734) 728-8670

40033 8 Mile Rd
Northville, MI 48167-1954
Phone (248) 349-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704318664MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Geriatric Consultants PLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

28701 Plymouth Rd
Livonia, MI 48150
Phone (313) 937-1190

Organizations & group practices 1

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 9

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1861077968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 WATERWAYS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082783",
            "telephone_number": "734-846-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502419",
            "telephone_number": "734-427-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODOPYANOV",
        "first_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704318664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.