Individual provider Active NPI

Nouha Mohamad Hassan, NP

  • Family Nurse Practitioner
  • Oak Park, MI
National Provider Identifier
1982203972
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704335648 Issued in MI
Practice address
24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone
(248) 398-4000
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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 4704335648 MI Primary

Addresses

Primary practice location

24661 Coolidge Hwy
Oak Park, MI 48237-1449

Mailing address

7814 E Morrow Cir
Dearborn, MI 48126-1242
Phone (313) 759-2389

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
I20231129002520 MI Practitioner - Nurse Practitioner 1557580925 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Detroit PLCGroup PAC ID 0941657126, 15 clinicians

Practice addresses (Care Compare)

19335 Grand River Ave
Detroit, MI 48223-1201
Phone (313) 955-0000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoover Urgent Care of Warren PLLC CurrentSince Oct 13, 2024 Accepting new patients
Specialty Medical Center Inc CurrentSince Sep 30, 2023 Accepting new patients
Oak Park Urgent Care PLLC CurrentSince Dec 15, 2023 Accepting new patients
International Musculoskeletal Center PC PastSince Aug 1, 2009 Accepting new patients

Locations

13530 Michigan Ave
Ste 110
Dearborn, MI 48126
Phone (248) 844-8281

19335 Grand River Ave
Detroit, MI 48223
Phone (313) 794-8780

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

5456 15 Mile Rd
Ste 101
Sterling Hts, MI 48310
Phone (313) 743-2300

44056 Mound Rd
Ste 105
Sterling Hts, MI 48314
Phone (586) 540-1094

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1982203972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 E MORROW CIR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261242",
            "telephone_number": "313-759-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24661 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371449",
            "telephone_number": "248-398-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "NOUHA",
        "middle_name": "MOHAMAD",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704335648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.