Individual provider Active NPI

Tammy Jean Cass, NP-BC

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1902459159
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704211290 Issued in MI
Practice address
11900 E 12 Mile Rd
Warren, MI 48093-3400
Phone
(586) 582-7100
Fax
(586) 582-7101
NPI assigned
Jul 17, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704211290 MI Primary
Registered Nurse 163W00000X 4704211290 MI

Addresses

Primary practice location

11900 E 12 Mile Rd
Warren, MI 48093-3400

Mailing address

11900 E 12 Mile Rd
Warren, MI 48093-3400
Phone (586) 582-7100

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
I20191122000277 MI Practitioner - Nurse Practitioner 8628400025 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healox Health PLLCGroup PAC ID 0648685594, 10 clinicians
Nextcare Michigan Providers PLLCGroup PAC ID 5395157218, 16 clinicians

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 200
Southfield, MI 48034-7645
Phone (248) 357-5000

3280 Washtenaw Ave
Ann Arbor, MI 48104-4283
Phone (734) 389-2000

5800 Highland Rd
Waterford, MI 48327-1827
Phone (248) 290-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704211290MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Oct 23, 2019 Accepting new patients
Washtenaw Urgent Care Current Accepting new patients
Healox Health PLLC CurrentSince Aug 1, 2022 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Oct 23, 2019 Accepting new patients
Nextcare Michigan Providers PLLC CurrentSince Nov 6, 2020 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients

Locations

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

2300 Genoa Business Park Dr
Ste 120
Brighton, MI 48114
Phone (810) 299-8550

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

100 Powell Dr
Ste 8
Dundee, MI 48131
Phone (734) 823-5900

641 W 9 Mile Rd
Ste C
Ferndale, MI 48220
Phone (248) 206-1600

17197 N Laurel Park Dr
Ste 107
Livonia, MI 48152
Phone (734) 338-8300

29201 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 357-5000

11900 E 12 Mile Rd
Ste 210
Warren, MI 48093
Phone (586) 558-4700

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

375 Eureka Rd
Ste B
Wyandotte, MI 48192
Phone (734) 225-9300

Interoperability endpoints

  • Direct secure messaging: tcass1120474@direct.hfhs.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1902459159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-582-7100",
            "fax_number": "586-582-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-582-7100",
            "fax_number": "586-582-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASS",
        "first_name": "TAMMY",
        "middle_name": "JEAN",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704211290",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704211290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.