Individual provider Active NPI

Patrick Michael Finegan, DNP, RN, CPNP

  • Pediatric Nurse Practitioner
  • Troy, MI
National Provider Identifier
1982334439
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704320392 Issued in MI
Practice address
4967 Crooks Rd Ste 250
Troy, MI 48098-5809
Phone
(248) 654-6499
NPI assigned
Jun 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704320392 MI Primary

Addresses

Primary practice location

4967 Crooks Rd Ste 250
Troy, MI 48098-5809

Mailing address

2402 N Burgett LN
Grass Lake, MI 49240-9442
Phone (586) 565-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704320392MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidology Pediatrics PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25404/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1982334439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 N BURGETT LN",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409442",
            "telephone_number": "586-565-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD STE 250",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985809",
            "telephone_number": "248-654-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINEGAN",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "DNP, RN, CPNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704320392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.