Individual provider Active NPI

Edmund Loranger Neumaier, RN NP-C

  • Adult Health Nurse Practitioner
  • Saint Clair Shores, MI
National Provider Identifier
1942711452
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704213885 Issued in MI
Practice address
21600 Harper Ave Ste 100
Saint Clair Shores, MI 48080-2242
Phone
(586) 800-1001
Fax
(586) 800-1002
NPI assigned
Oct 24, 2017
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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 4704213885 MI Primary

Addresses

Primary practice location

21600 Harper Ave Ste 100
Saint Clair Shores, MI 48080-2242

Mailing address

21600 Harper Ave Ste 100
Saint Clair Shores, MI 48080-2242
Phone (586) 800-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181030002441 MI Practitioner - Nurse Practitioner 2466705926 Reassigns benefits to 2 organizations
I20240909000729 OH Practitioner - Nurse Practitioner 2466705926 Reassigns benefits to 1 organization
I20251017000742 WI Practitioner - Nurse Practitioner 2466705926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19916 Rosedale St
Saint Clair Shores, MI 48080-4222

424 Church St
Nashville, TN 37219-2301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Michigan Neurology Associates, P.C. CurrentSince Aug 25, 2018 Accepting new patients
Community Care Health Network LLC CurrentSince Jul 1, 2024 Accepting new patients
Michigan Neurology Associates PC CurrentSince Aug 25, 2018 Accepting new patients
Michael G. Taylor,M.D.P.L.C. CurrentSince Aug 1, 2019 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000

22646 E 9 Mile Rd
Ste C
Saint Clair Shores, MI 48080
Phone (586) 443-5400

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781

Organizations & group practices 5

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1942711452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 HARPER AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802242",
            "telephone_number": "586-800-1001",
            "fax_number": "586-800-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HARPER AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802242",
            "telephone_number": "586-800-1001",
            "fax_number": "586-800-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMAIER",
        "first_name": "EDMUND",
        "middle_name": "LORANGER",
        "credential": "RN NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704213885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.