Individual provider Active NPI

Maritza Tenbusch, FNP-C

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1871208678
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704343844 Issued in MI
Practice address
7633 E Jefferson Ave
Detroit, MI 48214-3730
Phone
(313) 889-5100
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704343844 MI Primary

Addresses

Primary practice location

7633 E Jefferson Ave
Detroit, MI 48214-3730

Mailing address

7633 E Jefferson Ave
Detroit, MI 48214-3730
Phone (313) 889-5100

Other names 1

  • Maritza Tenbusch Professional 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
I20250508003427 MI Practitioner - Nurse Practitioner 7719404128 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Multispecialty Physicians PLLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

7633 E Jefferson Ave
Ste 200
Detroit, MI 48214
Phone (313) 651-7170

27207 Lahser Rd
Ste 200B
Southfield, MI 48034
Phone (248) 663-1900

25130 Southfield Rd
Ste 230
Southfield, MI 48075
Phone (248) 234-6790

25130 Southfield Rd
Ste 120
Southfield, MI 48075
Phone (248) 234-6790

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1871208678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143730",
            "telephone_number": "313-889-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143730",
            "telephone_number": "313-889-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENBUSCH",
        "first_name": "MARITZA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704343844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARITZA",
            "last_name": "TENBUSCH",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.