Individual provider Active NPI

Marcia Watts Hammons, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1982080347
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704429105 Issued in MI
Practice address
2800 W Grand Blvd
Detroit, MI 48202-2610
Phone
(888) 777-4167
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP128720 TX
Acute Care Nurse Practitioner 363LA2100X CNP-02766 NM
Adult Health Nurse Practitioner 363LA2200X CNP-02766 NM
Adult Health Nurse Practitioner 363LA2200X AP128720 TX
Gerontology Nurse Practitioner 363LG0600X CNP-02766 NM
Gerontology Nurse Practitioner 363LG0600X AP128720 TX
Gerontology Nurse Practitioner 363LG0600X 4704429105 MI
Acute Care Nurse Practitioner 363LA2100X 4704429105 MI Primary

Addresses

Primary practice location

2800 W Grand Blvd
Detroit, MI 48202-2610

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (138) 744-8063

Other practice location 1

1160 Mall Dr
Las Cruces, NM 88011-8128
Phone (575) 521-3270

Other identifiers 1

IdentifierTypeStateIssuer
91734576MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170113000243 NM Practitioner - Nurse Practitioner 1153603808 Reassigns benefits to 1 organization
I20250815001309 MI Practitioner - Nurse Practitioner 1153603808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704429105MIMDAcute Care Nurse Practitioner
AP128720TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince Sep 19, 2016 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Sep 19, 2016 Accepting new patients
Henry Ford Health System Adult Health CurrentSince Jul 5, 2025 Accepting new patients
Henry Ford Health System CurrentSince Jul 5, 2025 Accepting new patients

Locations

2800 W Grand Blvd
Fl 3
Detroit, MI 48202
Phone (313) 556-8820

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2800 W Grand Blvd
Detroit, MI 48202
Phone (313) 230-1078

1160 Mall Dr
Las Cruces, NM 88011
Phone (575) 521-3270

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1982080347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "138-744-8063",
            "fax_number": "138-761-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022610",
            "telephone_number": "888-777-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118128",
            "country_code": "US",
            "telephone_number": "575-521-3270",
            "fax_number": "575-521-3504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "MARCIA",
        "middle_name": "WATTS",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP128720",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP-02766",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "CNP-02766",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP128720",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "CNP-02766",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP128720",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704429105",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704429105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91734576",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.