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FUNDAMENTAL HEALING, INC
NPI 1083276547
Nurse Practitioner - Family in Southfield, MI

Active since July 05, 2019
29829 TELEGRAPH RD STE 204, SOUTHFIELD, MI 48034(248) 601-0234(844) 273-8145 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fundamental Healing, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNDAMENTAL HEALING, INC (NPI 1083276547) is a healthcare organization registered as a family in Southfield, Michigan and active in the NPI registry since July 2019. The organization lists Gretchen Perry, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083276547
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFUNDAMENTAL HEALING, INC
Location Address29829 TELEGRAPH RD STE 204Southfield, MI 48034-1330
Mailing Address29829 Telegraph Rd Ste 204Southfield, MI 48034-1330 · (248) 601-0234 · Fax (844) 273-8145
Phone(248) 601-0234
Fax(844) 273-8145
Organization SubpartNo
Authorized OfficialGretchen PerryFamily Nurse Practitioner · (313) 715-4835
Enumeration DateJuly 5, 2019
✔ NPI 1083276547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinical Nurse Specialist · HolisticTaxonomy 364SH1100X
29829 TELEGRAPH RD STE 204, Southfield, MI 48034
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fundamental Healing, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fundamental Healing, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gretchen Perry-Emery
Nurse Practitioner
NPI 1811363641
2525 S TELEGRAPH RD STE 305
Bloomfield Hills, MI 48302
(248) 601-0234
✔ PECOS6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fundamental Healing, Inc's NPI number?

The NPI number for Fundamental Healing, Inc is 1083276547. It was assigned to this organization in the NPPES registry on July 5, 2019.

Where is Fundamental Healing, Inc located?

Fundamental Healing, Inc is located at 29829 Telegraph Rd Ste 204, Southfield, MI 48034. The listed phone number is (248) 601-0234.

What is Fundamental Healing, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fundamental Healing, Inc enrolled in Medicare?

Yes. Fundamental Healing, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fundamental Healing, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fundamental Healing, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fundamental Healing, Inc accept?

Health plans from Blue Care Network of Michigan list Fundamental Healing, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fundamental Healing, Inc was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.