BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER – Nurse Practitioner, NPI 1194774919

BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER is a healthcare provider. based in Southfield, Michigan. specializing in Nurse Practitioner. The NPI Number for BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER is 1194774919

Main info

Organization
Name
BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER
NPI
1194774919
Phone
(947) 522-1964
Address
26901 BEAUMONT BLVD
Authorized Official
LEE ANN ODOM PRESIDENT SHARED SERVICES
Enumeration Date
9 May 2006
Last Update Date
1 October 2021

Contacts

Secure Messaging
direct@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:20State licenses:0Updated within 12 months

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Provider Addresses for BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER

  • 26901 BEAUMONT BLVD

    COMPLIANCE

    SOUTHFIELD, MI 480333842

    Phone: (947) 522-1964

    Type: Mailing

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 423-2454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48033)

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Reviews

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Frequently asked questions

How is BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER identified in CMS data?
CMS-hosted NPPES data lists BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER with NPI 1194774919.
Is BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER listed as active for patients and plans?
The listing shows BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER as active in the NPI system.
What is BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER's specialty?
The listing groups BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER?
BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER's geographic hint is Southfield, Michigan in our summary view.
Is the information about BEAUMONT PROFESSIONAL SERVICES/NURSE PRACTIONER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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