Individual provider Active NPI

Angela Nicole Vitello, FNP-C

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1982156519
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704297140 Issued in MI
Practice address
21500 Mound Rd
Warren, MI 48091-4840
Phone
(586) 497-2257
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 4704297140 MI Primary

Addresses

Primary practice location

21500 Mound Rd
Warren, MI 48091-4840

Mailing address

3552 Kossuth Rd
Lake Orion, MI 48360-2507
Phone (248) 703-3536

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
I20181106001393 MI Practitioner - Nurse Practitioner 7719231901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Macomb PLCGroup PAC ID 6204232176, 19 clinicians

Practice addresses (Care Compare)

15945 19 Mile Rd
Suite 102
Clinton TWP, MI 48038-1147
Phone (586) 431-9100

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704297140MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Macomb PLC CurrentSince Sep 1, 2021 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 1

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1982156519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 KOSSUTH RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602507",
            "telephone_number": "248-703-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 MOUND RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914840",
            "telephone_number": "586-497-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITELLO",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704297140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.