Maureen Therese Romanchik, ANP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704267621 Issued in MI

Practice address

5130 Coolidge Hwy
Royal Oak, MI 48073-1001

Phone

(248) 288-9500

Fax

(877) 807-4012

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maureen.romanchik.1@16555.direct.athenahealth.com
• Direct secure messaging: mromanchik@landmarkhealth-direct.org

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.

• Avalon Consultants PLLC

  dba Avalon Physician Services

  • Family Medicine Physician
  • Novi, MI
  • NPI 1265859920
  Medicare reassignment NPD

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1881032407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5371 BERWYCK DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853253",
            "telephone_number": "248-687-0405",
            "fax_number": "248-817-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-288-9500",
            "fax_number": "877-807-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANCHIK",
        "first_name": "MAUREEN",
        "middle_name": "THERESE",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704267621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Elizabeth McNary Rohrer, MD
• Robin R Rola, R.N.
• Joseph Roll, CRNA
• Ryan Crochran Rollins
• Joy Roman
• Walter Romano, LLP
• Amanda Romaya, MD
• Jennifer Lindsay Rome, DPT
• Amy K. Rontal, M.D.
• Daniel Aaron Rontal, MD

• Primary Care Nurse Practitioner in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.