Individual provider Active NPI

Colleen Hanna Kinaia, MSN, FNP-BC

  • Family Nurse Practitioner
  • Hazel Park, MI
National Provider Identifier
1972203024
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704323205 Issued in MI
Practice address
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone
(248) 629-7497
Fax
(248) 397-8474
NPI assigned
Mar 7, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 2022140880 MI
Family Nurse Practitioner 363LF0000X 4704323205 MI Primary

Addresses

Primary practice location

624 E 9 Mile Rd
Hazel Park, MI 48030-1842

Mailing address

624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone (248) 629-7497

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
I20230525000152 MI Practitioner - Nurse Practitioner 4688030190 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians

Practice addresses (Care Compare)

2102 Orleans St
Detroit, MI 48207-2769
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022140880MIMDFamily Nurse Practitioner
4704323205MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Park Primary Care LLC CurrentSince Apr 22, 2023 Accepting new patients
Get Well Urgent Care Downriver PLC CurrentSince Oct 1, 2024 Accepting new patients
Curana Health of Michigan PLLC CurrentSince Apr 24, 2024 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

400 Renaissance Ctr
Detroit, MI 48243
Phone (318) 252-8839

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

624 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 268-2566

624 E 9 Mile Rd
Ste B
Hazel Park, MI 48030
Phone (248) 629-7497

1770 Fort St
Lincoln Park, MI 48146
Phone (313) 406-4413

3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300

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

Interoperability endpoints

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

Organizations & group practices 5

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1972203024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301842",
            "telephone_number": "248-629-7497",
            "fax_number": "248-397-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301842",
            "telephone_number": "248-629-7497",
            "fax_number": "248-397-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINAIA",
        "first_name": "COLLEEN",
        "middle_name": "HANNA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "2022140880",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704323205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

Sources for this page

Verify at the official NPI Registry.