Individual provider Active NPI

Makula Brown, FNP-C

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1942813712
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704306338 Issued in MI
Practice address
17330 Northland Park CT Ste 100
Southfield, MI 48075-4319
Phone
(313) 707-1268
NPI assigned
Aug 31, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 4704306338 MI Primary

Addresses

Primary practice location

17330 Northland Park CT Ste 100
Southfield, MI 48075-4319

Mailing address

1257 Wayburn St
Grosse Pointe Park, MI 48230-1058
Phone (313) 707-1268

Other practice location 1

1257 Wayburn St
Grosse Pointe Park, MI 48230-1058
Phone (313) 707-1268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201125001965 MI Practitioner - Nurse Practitioner 0941586457 Reassigns benefits to 7 organizations
I20251024000178 SC Practitioner - Nurse Practitioner 0941586457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physicians Care, PLLCGroup PAC ID 0547327587, 7 clinicians

Practice addresses (Care Compare)

17330 Northland Park CT
Suite 100
Southfield, MI 48075-4319
Phone (313) 974-0667

37674 Avon LN
Farmington Hills, MI 48331-3089
Phone (248) 556-4450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704306338MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nrarh Home Care Solutions Mi LLC Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
Neighborhood Service Organization Multi-Specialty CurrentSince Jul 28, 2021 Accepting new patients
Keri Heart Inc Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Villagehealth DM LLC Multi-Specialty CurrentSince Mar 6, 2023 Accepting new patients
Karing Handz LLC Multi-Specialty Current Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Inner City Family Services Detroit LLC Multi-Specialty PastSince Nov 17, 2024 Accepting new patients

Locations

400 E Court Ave
Ste 110
Des Moines, IA 50309

7960 Grand River Rd
Ste 200
Brighton, MI 48114

8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601

18243 Wyoming St
Detroit, MI 48221
Phone (248) 843-5470

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1942813712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 WAYBURN ST",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301058",
            "telephone_number": "313-707-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT STE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754319",
            "telephone_number": "313-707-1268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1257 Wayburn St",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "postal_code": "482301058",
            "country_code": "US",
            "telephone_number": "313-707-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MAKULA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704306338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.