Individual provider Active NPI

Victoria Ann Deflorio, NURSE PRACTITIONER

  • Nurse Practitioner
  • Waterford, MI
National Provider Identifier
1982465811
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704210175 Issued in MI
Practice address
4568 W Walton Blvd Ste D
Waterford, MI 48329-4900
Phone
(855) 466-3631
Fax
(833) 973-4493
NPI assigned
Jan 18, 2024
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704210175 MI Primary

Addresses

Primary practice location

4568 W Walton Blvd Ste D
Waterford, MI 48329-4900

Mailing address

4568 W Walton Blvd Ste D
Waterford, MI 48329-4900
Phone (855) 466-3631

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
I20240425002861 MI Practitioner - Nurse Practitioner 5799125621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Transitional Care Services LLCGroup PAC ID 6709165954, 45 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4568 W Walton Blvd
Suite D
Waterford, MI 48329-4900
Phone (855) 466-3631

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Care Services, LLC CurrentSince Apr 1, 2024 Accepting new patients
Home MD PLLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631

4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631

Interoperability endpoints

  • Direct secure messaging: victoria.deflorio.1@31855.direct.athenahealth.com

Organizations & group practices 3

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 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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1982465811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 W WALTON BLVD STE D",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294900",
            "telephone_number": "855-466-3631",
            "fax_number": "833-973-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 W WALTON BLVD STE D",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294900",
            "telephone_number": "855-466-3631",
            "fax_number": "833-973-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFLORIO",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704210175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.