Individual provider Active NPI

Cheryl K Perkins

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1891570917
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704242158 Issued in MI
Practice address
880 W Long Lake Rd # 600
Troy, MI 48098-4507
Phone
(800) 562-5442
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 4704242158 MI Primary

Addresses

Primary practice location

880 W Long Lake Rd # 600
Troy, MI 48098-4507

Mailing address

3891 Eastbourne Dr
Troy, MI 48084-1158
Phone (313) 720-5538

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
I20230922001957 MI Practitioner - Nurse Practitioner 2365896453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Detroit Community Health Connection IncGroup PAC ID 9234021148, 16 clinicians

Practice addresses (Care Compare)

20303 Kelly Rd
Detroit, MI 48225-1206
Phone (313) 347-2116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704242158MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix LLC CurrentSince Jan 12, 2026 Accepting new patients
Sciometrix Inc CurrentSince Jan 12, 2026 Accepting new patients
Detroit Community Health Connection, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Detroit Community Health Connection, Inc CurrentSince Jul 22, 2024 Accepting new patients

Locations

13901 E Jefferson Ave
Detroit, MI 48215
Phone (313) 821-2591

7900 Kercheval St
Detroit, MI 48214
Phone (313) 921-5500

111 W 7 Mile Rd
Detroit, MI 48203
Phone (313) 368-2600

20303 Kelly Rd
Harper Woods, MI 48225
Phone (313) 245-7000

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Organizations & group practices 4

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1891570917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3891 EASTBOURNE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841158",
            "telephone_number": "313-720-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W LONG LAKE RD # 600",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984507",
            "telephone_number": "800-562-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CHERYL",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704242158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.