Active NPI
Lena Antoski, MS, RN, AGPCNP-BC
- Nurse Practitioner
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704253119
- Practice address
- 56491 Broadmoor LN
Macomb, MI 48042-1193 - Phone
- (596) 321-2240
- NPI assigned
- Feb 20, 2014
- Last updated
- Feb 20, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704253119 | MI | Primary |
Addresses
Primary practice location
56491 Broadmoor LN
Macomb, MI 48042-1193
Mailing address
56491 Broadmoor LN
Macomb, MI 48042-1193
Phone (596) 321-2240
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29433 Ryan Rd
Warren, MI 48092-2203
Phone (586) 574-0500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles G Kissel DPM PC | Current | Accepting new patients | |
| Michel Hanna MD PC | Current | Accepting new patients |
Locations
1701 South Blvd E
Ste 190
Rochester Hills, MI 48307
Phone (248) 289-1509
43200 Dequindre Rd
Ste 102
Sterling Heights, MI 48314
Phone (586) 731-8200
29433 Ryan Rd
Warren, MI 48092
Phone (586) 574-0500
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- lantoski285207@direct.hfhs.org
- lena.antoski@cgkdp-mi.direct.office.nextgen.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Warren, MI
- NPI 1013001221
-
- Infectious Disease Physician
- Rochester Hills, MI
- NPI 1679592729
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1861817348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56491 BROADMOOR LN",
"city": "MACOMB",
"state": "MI",
"postal_code": "480421193",
"telephone_number": "596-321-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56491 BROADMOOR LN",
"city": "MACOMB",
"state": "MI",
"postal_code": "480421193",
"telephone_number": "596-321-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOSKI",
"first_name": "LENA",
"name_prefix": "Mrs.",
"credential": "MS, RN, AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704253119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.