Individual provider Active NPI

Rachel Meibers

  • Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1942041876
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704350246 Issued in MI
Practice address
14100 Newburgh Rd
Livonia, MI 48154-5010
Phone
(734) 464-7810
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704350246 MI
Nurse Practitioner 363L00000X 4704350246 MI Primary

Addresses

Primary practice location

14100 Newburgh Rd
Livonia, MI 48154-5010

Mailing address

14100 Newburgh Rd
Livonia, MI 48154-5010

Other practice location 1

14100 Newburgh Rd
Livonia, MI 48154-5010
Phone (734) 464-7810

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
I20240724000591 MI Practitioner - Nurse Practitioner 3577009737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704350246MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Hospice Home Care, Inc. CurrentSince Jun 25, 2024 Accepting new patients

Locations

14100 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-7810

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, 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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1942041876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "734-464-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481545010",
            "country_code": "US",
            "telephone_number": "734-464-7810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIBERS",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704350246",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704350246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.