Individual provider Active NPI

Rita Amer Kemennu, NP

  • Family Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1871320267
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704366872 Issued in MI
Practice address
31189 Country Ridge Cir
Farmington Hills, MI 48331-1120
Phone
(619) 277-4200
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 4704366872 MI Primary

Addresses

Primary practice location

31189 Country Ridge Cir
Farmington Hills, MI 48331-1120

Mailing address

31189 Country Ridge Cir
Farmington Hills, MI 48331-1120
Phone (619) 277-4200

Other practice location 1

23100 Michigan Ave
Dearborn, MI 48124-2033
Phone (313) 263-7584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

31189 Country Ridge Cir
Farmington Hills, MI 48331-1120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704366872MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Sep 10, 2023 Accepting new patients

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1871320267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31189 COUNTRY RIDGE CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311120",
            "telephone_number": "619-277-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31189 COUNTRY RIDGE CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311120",
            "telephone_number": "619-277-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23100 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242033",
            "country_code": "US",
            "telephone_number": "313-263-7584",
            "fax_number": "313-263-7704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMENNU",
        "first_name": "RITA",
        "middle_name": "AMER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704366872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.