Individual provider Active NPI

Vincent Deciantis, NP-C

  • Gerontology Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1861867889
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704274231 Issued in MI
Practice address
30600 Telegraph Rd Ste 1160
Bingham Farms, MI 48025-4531
Phone
(844) 999-0020
Fax
(888) 926-1121
NPI assigned
Dec 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4704274231 MI
Gerontology Nurse Practitioner 363LG0600X 4704274231 MI Primary
General Acute Care Hospital 282N00000X 4704274231 MI

Addresses

Primary practice location

30600 Telegraph Rd Ste 1160
Bingham Farms, MI 48025-4531

Mailing address

7240 Chase Oaks Blvd
Plano, TX 75025-5901
Phone (844) 999-0020

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
I20160217001980 MI Practitioner - Nurse Practitioner 8022313725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inhome Connect of Michigan LLCGroup PAC ID 8729523980, 3 clinicians

Practice addresses (Care Compare)

30600 Telegraph Rd
Suite 1160
Bingham Farms, MI 48025-4531
Phone (844) 999-0020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704274231MIMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Inhome Connect of Michigan, PLLC CurrentSince Jan 5, 2026 Accepting new patients
Osh-Mi Physicians Group PC Primary Care Past Accepting new patients

Locations

30600 Telegraph Rd
Ste 1160
Bingham Farms, MI 48025
Phone (844) 999-0020

7240 Chase Oaks Blvd
Plano, TX 75025
Phone (972) 517-6300

Interoperability endpoints

  • Direct secure messaging: vdeciantis308193@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1861867889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 CHASE OAKS BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255901",
            "telephone_number": "844-999-0020",
            "fax_number": "214-291-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 1160",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254531",
            "telephone_number": "844-999-0020",
            "fax_number": "888-926-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECIANTIS",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-02",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704274231",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704274231",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4704274231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.