Individual provider Active NPI

Ali Mehieddine Nassri

  • Family Nurse Practitioner
  • Canton, MI
National Provider Identifier
1912642869
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04220431 Issued in MI
Practice address
213 Cornell St
Canton, MI 48188-1005
Phone
(313) 903-1776
NPI assigned
May 4, 2022
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 F04220431 MI Primary

Addresses

Primary practice location

213 Cornell St
Canton, MI 48188-1005

Mailing address

213 Cornell St
Canton, MI 48188-1005
Phone (313) 903-1776

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
I20220809001792 MI Practitioner - Nurse Practitioner 4688056526 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Michigan Preventive CareGroup PAC ID 4385125046, 2 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

1330 Grand Pointe CT
Grand Blanc, MI 48439-5502
Phone (810) 695-8920

30425 Industrial Rd
Livonia, MI 48150-2019
Phone (313) 903-1776

8633 Main St
Whitmore Lake, MI 48189-9248
Phone (734) 449-4431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04220431MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC Multi-Specialty CurrentSince Jun 10, 2025 Accepting new patients
Theoria Medical Multi-Specialty CurrentSince Jul 9, 2022 Accepting new patients
M&L Quality of Life PLC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Michigan Preventive Care Multi-Specialty CurrentSince Jan 15, 2026 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

27750 Middlebelt Rd
Ste 150
Farmington Hills, MI 48334
Phone (248) 476-4000

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200

30425 Industrial Rd
Livonia, MI 48150
Phone (313) 903-1776

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

8633 Main St
Whitmore Lake, MI 48189
Phone (734) 449-4431

Interoperability endpoints

  • Direct secure messaging: anassri1086944@direct.hfhs.org

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, 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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1912642869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CORNELL ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881005",
            "telephone_number": "313-903-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CORNELL ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881005",
            "telephone_number": "313-903-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSRI",
        "first_name": "ALI",
        "middle_name": "MEHIEDDINE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-04",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F04220431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.