Individual provider Active NPI

Cailynn Charara

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1932076676
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704348917 Issued in MI
Practice address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone
(248) 849-3331
NPI assigned
Oct 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704348917 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

25316 Collingwood St
Roseville, MI 48066-5707
Phone (517) 940-2545

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
I20251222002133 MI Practitioner - Nurse Practitioner 0042701971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkley Urgent Care PLLCGroup PAC ID 7315167632, 8 clinicians

Practice addresses (Care Compare)

3270 Greenfield Rd
Berkley, MI 48072-1161
Phone (248) 268-1525

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704348917MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkley Urgent Care PLLC Single Specialty CurrentSince Oct 17, 2025 Accepting new patients
Express Health Urgent Care PLLC Single Specialty CurrentSince Oct 17, 2025 Accepting new patients

Locations

3270 Greenfield Rd
Berkley, MI 48072
Phone (248) 268-1525

26400 Plymouth Rd
Redford, MI 48239
Phone (313) 543-3300

Organizations & group practices 2

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.

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": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1932076676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25316 COLLINGWOOD ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665707",
            "telephone_number": "517-940-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARARA",
        "first_name": "CAILYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-18",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704348917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.