Individual provider Active NPI

Diana Ventimiglia

  • Family Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1942843941
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704314036 Issued in MI
Practice address
3500 15 Mile Rd # RR
Sterling Heights, MI 48310-5353
Phone
(586) 977-8990
NPI assigned
Oct 22, 2019
Last updated
Aug 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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 4704314036 MI Primary

Addresses

Primary practice location

3500 15 Mile Rd # RR
Sterling Heights, MI 48310-5353

Mailing address

20769 E 13 Mile Rd
Roseville, MI 48066-4503

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
I20240624004032 MI Practitioner - Nurse Practitioner 1355884925 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland Univ, William Beaumont School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Shelby PLCGroup PAC ID 0749646412, 16 clinicians
Get Well Urgent Care Macomb PLCGroup PAC ID 6204232176, 19 clinicians
Roseville Urgent Care PCGroup PAC ID 8921281361, 21 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians

Practice addresses (Care Compare)

13467 23 Mile Rd
Shelby Township, MI 48315-2717
Phone (586) 884-7400

15945 19 Mile Rd
Suite 102
Clinton TWP, MI 48038-1147
Phone (586) 431-9100

20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Shelby PLC CurrentSince May 14, 2024 Accepting new patients
Get Well Urgent Care Macomb PLC CurrentSince Oct 1, 2024 Accepting new patients
Roseville Urgent Care, PC CurrentSince May 14, 2024 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince May 14, 2024 Accepting new patients

Locations

15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100

20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070

13467 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 267-5040

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Interoperability endpoints

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

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1942843941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20769 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 15 MILE RD # RR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105353",
            "telephone_number": "586-977-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTIMIGLIA",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-08-14",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704314036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.