COMPREHENSIVE OBGYN NP
NPI 1104144500
Nurse Practitioner - Obstetrics & Gynecology in Livonia, MI

Active since May 10, 2010
28711 8 MILE RD, STE C, LIVONIA, MI 48152(248) 474-4590 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2019, Jul 11, 2016 (2 updates tracked since 2016).

About Comprehensive Obgyn Np NPPES

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

COMPREHENSIVE OBGYN NP (NPI 1104144500) is a healthcare organization registered as an obstetrics & gynecology in Livonia, Michigan and active in the NPI registry since May 2010. The organization lists Lesley Willbrandt, Director Shared Services, as its authorized official.

NPPES Registry Identity

NPI1104144500
Entity TypeOrganization
Primary Taxonomy363LX0001X
Legal Business NameBOTSFORD GENERAL HOSPITAL
Location Address28711 8 MILE RD, STE CLivonia, MI 48152-2040
Mailing Address26901 Beaumont BlvdSouthfield, MI 48033-3849
Organization SubpartYes
Authorized OfficialLesley WillbrandtDirector Shared Services · (947) 522-1911
Enumeration DateMay 10, 2010
Last NPPES UpdateAugust 16, 20192 updates tracked since enumeration
✔ NPI 1104144500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
28711 8 MILE RD, Livonia, MI 48152

Other Names 1

Doing Business AsComprehensive Obgyn Np

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Comprehensive Obgyn Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050621000683Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Comprehensive Obgyn Np, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1083086482
28711 8 MILE RD STE C
Livonia, MI 48152
(248) 474-4590
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124403134
7456 ARROWOOD DR
West Bloomfield, MI 48324
(248) 496-6666
✔ PECOS11 mi
Nurse Practitioner
NPI 1467533786
44250 DEQUINDRE RD
Sterling Heights, MI 48314
(248) 964-6101
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1992180491
23715 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 447-8021
✔ PECOS✔ Accepts Medicare24 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 Botsford General Hospital's NPI number?

The NPI number for Botsford General Hospital is 1104144500. It was assigned to this organization in the NPPES registry on May 10, 2010. The provider is doing business as Comprehensive Obgyn Np.

Where is Botsford General Hospital located?

Botsford General Hospital is located at 28711 8 Mile Rd Ste C, Livonia, MI 48152. The listed phone number is (248) 474-4590.

What is Botsford General Hospital's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Botsford General Hospital enrolled in Medicare?

Yes. Botsford General Hospital is registered in the Medicare PECOS enrollment system.

When is Botsford General Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Botsford General Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Botsford General Hospital. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Botsford General Hospital was last updated on August 16, 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.