Individual provider Active NPI

Nadine Abro

  • Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1861386062
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013889 Issued in MI
Practice address
110 South Blvd W
Rochester Hills, MI 48307-5184
Phone
(248) 852-1900
NPI assigned
Jun 4, 2025
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013889 MI Primary

Addresses

Primary practice location

110 South Blvd W
Rochester Hills, MI 48307-5184

Mailing address

110 South Blvd W
Rochester Hills, MI 48307-5184
Phone (248) 852-1900

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
I20260617000915 MI Practitioner - Physician Assistant 9032681432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1389 Grinnell Ave
Waterford, MI 48328-4327

14704 Port Creek Rd
Flat Rock, MI 48134-9648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601013889MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians PC CurrentSince Jun 8, 2026 Accepting new patients

Locations

110 South Blvd W
Ste 100
Rochester Hills, MI 48307
Phone (248) 252-5213

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1861386062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH BLVD W",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075184",
            "telephone_number": "248-852-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH BLVD W",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075184",
            "telephone_number": "248-852-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRO",
        "first_name": "NADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.