Individual provider Active NPI

Raneen Zetouna, NP

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1972071603
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704316840 Issued in MI
Practice address
31500 Dequindre Rd
Warren, MI 48092-1057
Phone
(586) 939-9500
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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 4704316840 MI Primary

Addresses

Primary practice location

31500 Dequindre Rd
Warren, MI 48092-1057

Mailing address

38012 Cobble Creek CT
Sterling Heights, MI 48312-2000

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
I20200504002638 MI Practitioner - Nurse Practitioner 9537590708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Family Care PCGroup PAC ID 8022321413, 3 clinicians

Practice addresses (Care Compare)

31500 Dequindre Rd
Suite 200
Warren, MI 48092-1057
Phone (586) 939-9500

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704316840MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Care PC CurrentSince Mar 1, 2020 Accepting new patients

Locations

31500 Dequindre Rd
Warren, MI 48092
Phone (586) 268-6942

31500 Dequindre Rd
#200
Warren, MI 48092
Phone (586) 939-9500

31500 Dequindre Rd
Ste 200
Warren, MI 48092
Phone (586) 939-9500

Interoperability endpoints

  • Direct secure messaging: rzetouna1158709@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1972071603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38012 COBBLE CREEK CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921057",
            "telephone_number": "586-939-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETOUNA",
        "first_name": "RANEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704316840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.