Individual provider Active NPI

Justin Rodnez

  • Family Nurse Practitioner
  • Pontiac, MI
National Provider Identifier
1932729274
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704339429 Issued in MI
Practice address
181 State St
Pontiac, MI 48341-1453
Phone
(248) 804-2394
Fax
(248) 201-1489
NPI assigned
Apr 16, 2020
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 4704339429 MI Primary

Addresses

Primary practice location

181 State St
Pontiac, MI 48341-1453

Mailing address

181 State St
Pontiac, MI 48341-1453
Phone (248) 804-2394

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
I20200507002275 MI Practitioner - Nurse Practitioner 8224469275 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VPS of Mi PLLC CurrentSince May 5, 2020 Accepting new patients
Pulse Primary Care PLLC CurrentSince Feb 3, 2025 Accepting new patients
One Call Staffing Family CurrentSince May 11, 2024 Accepting new patients
Telemed Consultants PLLC Past Accepting new patients

Locations

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

15400 Michigan Ave
Ste 3
Dearborn, MI 48126
Phone (313) 581-5600

14825 W McNichols Rd
Detroit, MI 48235
Phone (313) 838-7900

31500 W 13 Mile Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 509-4070

181 State St
Pontiac, MI 48341
Phone (248) 730-0387

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGHDD

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1932729274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 STATE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411453",
            "telephone_number": "248-804-2394",
            "fax_number": "248-201-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 STATE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411453",
            "telephone_number": "248-804-2394",
            "fax_number": "248-201-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODNEZ",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704339429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.