Individual provider Active NPI

Emily Katherine Wolfrum

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1871083683
Registry record updated Apr 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704289427 Issued in MI
Practice address
17900 23 Mile Rd Ste 101
Macomb, MI 48044-1161
Phone
(586) 868-9200
NPI assigned
May 16, 2018
Last updated
Apr 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704289427 MI
Family Nurse Practitioner 363LF0000X 4704289427 MI Primary

Addresses

Primary practice location

17900 23 Mile Rd Ste 101
Macomb, MI 48044-1161

Mailing address

24116 Meadowbridge Dr
Clinton Township, MI 48035-3008
Phone (407) 485-9541

Other names 1

  • Emily Katherine Skelton Former name

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
I20180621000787 MI Practitioner - Nurse Practitioner 5597010207 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

18700 Mack Ave
Grosse Pointe Farms, MI 48236-2923
Phone (313) 925-3486

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

25631 Little Mack Ave
Suite 104
Saint Clair Shores, MI 48081-2100
Phone (586) 884-2727

28284 Dequindre Rd
Warren, MI 48092-5604
Phone (586) 413-7069

28550 Schoenherr Rd
Warren, MI 48088-4329
Phone (586) 480-1685

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704289427MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Urgent Care PLLC CurrentSince May 7, 2021 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Aug 1, 2018 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Dec 26, 2020 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Nov 1, 2021 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Aug 1, 2018 Accepting new patients
Somerset Urgent Care PLLC CurrentSince May 7, 2021 Accepting new patients
Oxford Urgent Care P L C CurrentSince May 7, 2021 Accepting new patients
Lakeside Urgent Care, P. C. Current Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince May 6, 2021 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Dec 26, 2020 Accepting new patients
Royal Urgent Care, PLLC CurrentSince May 7, 2021 Accepting new patients
Henry Ford Maplegrove Center PastSince Oct 11, 2022 Accepting new patients
First Choice Urgent Care PC PastSince Dec 26, 2020 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

17900 23 Mile Rd
Ste 101
Macomb, MI 48044
Phone (586) 868-9010

17900 23 Mile Rd
Ste 401
Macomb, MI 48044
Phone (586) 868-9001

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

74 S Elk St
Sandusky, MI 48471
Phone (810) 487-4676

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

26000 Evergreen Rd
Southfield, MI 48076
Phone (248) 796-5608

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1871083683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24116 MEADOWBRIDGE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353008",
            "telephone_number": "407-485-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 23 MILE RD STE 101",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441161",
            "telephone_number": "586-868-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFRUM",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704289427",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704289427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SKELTON",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.