Tara Guertin, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704330299 Issued in MI

Practice address

1933 W Maple Rd
Troy, MI 48084-7109

Phone

(248) 912-1457

Fax

(248) 629-7587

NPI assigned

Nov 1, 2022

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Lung Care PLCGroup PAC ID 6709228729, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4

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.

• Michigan Lung Care PLC

  • Pulmonary Disease Physician
  • Troy, MI
  • NPI 1235982885
  Medicare reassignment Care Compare group NPD
• Blue Water Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Fort Gratiot, MI
  • NPI 1477135036
  Medicare reassignment NPD
• Canton Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Canton, MI
  • NPI 1649712480
  Medicare reassignment NPD
• Chesterfield Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Chesterfield, MI
  • NPI 1629547195
  Medicare reassignment NPD
• Clinton Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1831610070
  Medicare reassignment NPD
• Commerce Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Commerce TWP, MI
  • NPI 1952823825
  Medicare reassignment NPD
• Doctors Urgent Care Southfield

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1326660929
  Medicare reassignment NPD
• Doctors Urgent Care Sterling Heights West

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1992464697
  Medicare reassignment NPD
• Doctors Urgent Care Troy West PC

  • Urgent Care Clinic/Center
  • Troy, MI
  • NPI 1790428423
  Medicare reassignment NPD
• Farmington Hills Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Farmington Hills, MI
  • NPI 1144956350
  Medicare reassignment NPD
• Get Well Urgent Care Harper Woods PLC

  • Urgent Care Clinic/Center
  • Harper Woods, MI
  • NPI 1609585025
  Medicare reassignment NPD
• Get Well Urgent Care Macomb PLC

  • Urgent Care Clinic/Center
  • Clinton TWP, MI
  • NPI 1073289013
  Medicare reassignment NPD

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1932816717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 W MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847109",
            "telephone_number": "248-912-1457",
            "fax_number": "248-629-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847109",
            "telephone_number": "248-912-1457",
            "fax_number": "248-629-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERTIN",
        "first_name": "TARA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704330299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Matthew Grumeretz, PT, DPT
• Paul C Gryzenia, MD
• Guardian Education Group
• Guardian Home Care of Mi LLC
• Mary Margaret Guerra
• Monika Gugneja, MD
• Guided Solutions
• Guiding Light Care Angels LLC
• George Guirguis
• Akhil Gulati, M.D.

• Family Nurse Practitioner in Troy, MI
• Providers in Troy, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.