Individual provider Active NPI

Grace Qin Zhao, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1952837403
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704255768 Issued in MI
Practice address
2125 Clinton View Cir
Rochester Hills, MI 48309-2984
Phone
(248) 885-4670
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 4704255768 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704255768 MI Primary

Addresses

Primary practice location

2125 Clinton View Cir
Rochester Hills, MI 48309-2984

Mailing address

2125 Clinton View Cir
Rochester Hills, MI 48309-2984
Phone (248) 885-4670

Other names 1

  • Mrs. Guiqin Zhao Jr. Former name

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
I20170803002350 MI Practitioner - Nurse Practitioner 0244501674 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704255768MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jun 1, 2019 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jun 1, 2019 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 1, 2019 Accepting new patients
Mound Urgent Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
Shelby Urgent Care PC Current Accepting new patients
Harper Urgent Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 1, 2019 Accepting new patients
Shelby Urgent Care PC CurrentSince Apr 1, 2022 Accepting new patients
First Choice Urgent Care PC PastSince Jul 1, 2022 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

25990 Crocker Blvd
Harrison Twp, MI 48045
Phone (586) 466-5211

17900 23 Mile Rd
Ste 101
Macomb, MI 48044
Phone (586) 868-9010

51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

25515 Harper Ave
#U
St Clr Shores, MI 48081
Phone (248) 850-8395

25515 Harper Ave
St Clr Shores, MI 48081
Phone (248) 850-8395

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

Interoperability endpoints

  • Direct secure messaging: gzhao1158721@direct.hfhs.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1952837403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CLINTON VIEW CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092984",
            "telephone_number": "248-885-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CLINTON VIEW CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092984",
            "telephone_number": "248-885-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "GRACE",
        "middle_name": "QIN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704255768",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704255768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUIQIN",
            "last_name": "ZHAO",
            "prefix": "MRS.",
            "suffix": "JR.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.