Individual provider Active NPI

Rimma Culliton, NP-C

  • Adult Health Nurse Practitioner
  • Shelby Township, MI
National Provider Identifier
1912677048
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704310487 Issued in MI
Practice address
4256 Hill Dr Apt 201
Shelby Township, MI 48317-4825
Phone
(586) 453-2619
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704310487 MI Primary

Addresses

Primary practice location

4256 Hill Dr Apt 201
Shelby Township, MI 48317-4825

Mailing address

4256 Hill Dr Apt 201
Shelby Township, MI 48317-4825
Phone (586) 453-2619

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Shelby Direct

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
I20220420001980 MI Practitioner - Nurse Practitioner 8325435480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Im Hospitalists PLLCGroup PAC ID 2567621477, 8 clinicians

Practice addresses (Care Compare)

5555 Conner St
Detroit, MI 48213-3448
Phone (313) 344-7730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704310487MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Im Hospitalists PLLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

5555 Conner St
Detroit, MI 48213
Phone (313) 344-4100

1920 Livernois Rd
Troy, MI 48083
Phone (248) 649-6200

4050 E 12 Mile Rd
Warren, MI 48092
Phone (248) 872-9127

Interoperability endpoints

  • Direct secure messaging: rculliton595075@direct.hfhs.org

Organizations & group practices 1

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1912677048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 HILL DR APT 201",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174825",
            "telephone_number": "586-453-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 HILL DR APT 201",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174825",
            "telephone_number": "586-453-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLITON",
        "first_name": "RIMMA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704310487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shelby",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4256 Hill Dr Apt 201",
            "city": "Shelby Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483174825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.