Individual provider Active NPI

Joan M Olear, NP

  • Nurse Practitioner
  • Eastpointe, MI
National Provider Identifier
1912083114
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704140670 Issued in MI
Practice address
21300 Kelly Road
Eastpointe, MI 48021
Phone
(586) 447-4200
Fax
(586) 447-4208
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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 4704140670 MI Primary

Addresses

Primary practice location

21300 Kelly Road
Eastpointe, MI 48021

Mailing address

30170 23 Mile Rd
Chesterfield, MI 48047-2190
Phone (586) 949-5900

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
I20090424000343 MI Practitioner - Nurse Practitioner 7214085521 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenwood Allergy & Asthma Center, P.C. CurrentSince Apr 1, 2018 Accepting new patients
McLaren Health Management Group Current Accepting new patients
McLaren Health Management Group Current Accepting new patients
Pointes Allergy and Asthma Center, P.C. PastSince Sep 7, 2010 Accepting new patients
Henry Ford Semi Medical Group Past Accepting new patients

Locations

30170 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 949-5900

1515 Cal Dr
Davison, MI 48423
Phone (810) 496-8640

4000 S Saginaw St
Flint, MI 48507
Phone (810) 396-5700

17965 Hall Rd
Macomb, MI 48044
Phone (586) 412-0900

Interoperability endpoints

  • Direct secure messaging: jolear753887@direct.hfhs.org
  • Direct secure messaging: joan.olear@mc-mi.direct.office.nextgen.com

Organizations & group practices 5

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1912083114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30170 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472190",
            "telephone_number": "586-949-5900",
            "fax_number": "586-949-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 KELLY ROAD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-447-4200",
            "fax_number": "586-447-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEAR",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704140670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.