Individual provider Active NPI

Elizabeth Kirshner, NP

  • Nurse Practitioner
  • Romulus, MI
National Provider Identifier
1902061872
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704151992 Issued in MI
Practice address
9650 Wayne Rd
Romulus, MI 48174-1551
Phone
(734) 941-1400
Fax
(734) 941-2041
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704151992 MI Primary

Addresses

Primary practice location

9650 Wayne Rd
Romulus, MI 48174-1551

Mailing address

9650 Wayne Rd
Romulus, MI 48174-1551
Phone (734) 941-1400

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
I20040526000380 MI Practitioner - Nurse Practitioner 4688655657 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704151992MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Recovery Solutions, P.C. CurrentSince Apr 30, 2015 Accepting new patients
Oakwood Healthcare Group II, LLC Nurse Practitioner Past Accepting new patients

Locations

2008 Hogback Rd
Ste 1A
Ann Arbor, MI 48105
Phone (734) 434-6600

4870 W Clark Rd
Ste 201
Ypsilanti, MI 48197
Phone (734) 434-6600

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1902061872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 WAYNE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741551",
            "telephone_number": "734-941-1400",
            "fax_number": "734-941-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 WAYNE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741551",
            "telephone_number": "734-941-1400",
            "fax_number": "734-941-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHNER",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704151992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

Verify at the official NPI Registry.