Active NPI
Karen Schwartz, NP
- Nurse Practitioner
- Clinton TWP, MI
National Provider Identifier
1902884034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704224227
- Practice address
- 15855 19 Mile Rd
Emergency Medicine Department
Clinton TWP, MI 48038-3504 - Phone
- (586) 263-2601
- Fax
- (586) 263-2589
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704224227 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Emergency Medicine Department
Clinton TWP, MI 48038-3504
Mailing address
38935 Ann Arbor Rd
Credentialing/Payer Contracting Services
Livonia, MI 48150-3397
Phone (734) 632-0175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N51160042 | Medicaid | MI | |
| 1902884034 | Medicaid | MI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130708000629 | MI | Order and Referring Only - Nurse Practitioner | 0840255782 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1902884034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR RD",
"address_2": "CREDENTIALING/PAYER CONTRACTING SERVICES",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503397",
"telephone_number": "734-632-0175",
"fax_number": "734-632-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"address_2": "EMERGENCY MEDICINE DEPARTMENT",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2601",
"fax_number": "586-263-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "KAREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704224227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N51160042",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902884034",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.