Active NPI
Vincent Deciantis, NP-C
- Gerontology Nurse Practitioner
- Bingham Farms, MI
National Provider Identifier
1861867889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704274231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704274231 | MI | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inhome Connect of Michigan, PLLC | Current | 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
- 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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Bingham Farms, MI
- NPI 1437920634
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.