Active NPI
Michele A Wonch, NP
- Family Nurse Practitioner
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704196140
- Practice address
- 27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5939 - Phone
- (248) 477-0552
- Fax
- (248) 477-0742
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704196140 | MI | Primary |
Addresses
Primary practice location
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5939
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Other practice location 1
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704196140 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
32255 Northwestern Hwy
Ste 150
Farmington Hills, MI 48334
Phone (248) 419-3456
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701
32255 Northwestern Hwy
Ste 30
Farmington Hills, MI 48334
Phone (248) 851-1419
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
3577 W 13 Mile Rd
Ste 103
Royal Oak, MI 48073
Phone (248) 288-4500
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Social Worker
- Livonia, MI
- NPI 1154360402
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1952851180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27900 GRAND RIVER AVE",
"address_2": "SUITE 220",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365939",
"telephone_number": "248-477-0552",
"fax_number": "248-477-0742"
}
],
"practiceLocations": [
{
"address_1": "4100 John R St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012013",
"country_code": "US",
"telephone_number": "800-527-6266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONCH",
"first_name": "MICHELE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704196140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.