Individual provider Active NPI

Shormin Akter, MSN, FNP-BC

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1982389938
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704325804 Issued in MI
Practice address
24831 Ryan Rd
Warren, MI 48091-3390
Phone
(586) 486-5037
NPI assigned
Jun 19, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 4704325804 MI Primary

Addresses

Primary practice location

24831 Ryan Rd
Warren, MI 48091-3390

Mailing address

30564 Cedars Dr
Warren, MI 48093-2532
Phone (313) 320-5734

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
I20230717001165 MI Practitioner - Nurse Practitioner 6204296759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Livewell Medical Group PLLCGroup PAC ID 0042667529, 9 clinicians
Procare Partners Health PLLCGroup PAC ID 6507298841, 14 clinicians

Practice addresses (Care Compare)

3611 Carpenter St
Suite 5
Hamtramck, MI 48212-2784
Phone (313) 733-8286

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Livewell Medical Group PLLC CurrentSince May 27, 2024 Accepting new patients
Procare Partners Health PLLC CurrentSince Jul 6, 2023 Accepting new patients
US Bangla Corporation PastSince Jun 25, 2023 Accepting new patients
Procura Health Solutions PLLC PastSince Apr 9, 2024 Accepting new patients

Locations

3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286

24831 Ryan Rd
Warren, MI 48091
Phone (586) 486-5037

30805 Ann Arbor Trl
Westland, MI 48185
Phone (734) 744-7058

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1982389938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30564 CEDARS DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932532",
            "telephone_number": "313-320-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24831 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913390",
            "telephone_number": "586-486-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKTER",
        "first_name": "SHORMIN",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704325804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.