HENRY FORD HEALTH SYSTEM
NPI 1104900455
Nurse Practitioner in Detroit, MI

Active since October 24, 2006
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2024, Nov 16, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Henry Ford Health System NPPES

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

HENRY FORD HEALTH SYSTEM (NPI 1104900455) is a healthcare organization registered as a nurse practitioner in Detroit, Michigan and active in the NPI registry since October 2006. The organization lists Kelly Ratowski, Director-provider Affairs, as its authorized official.

NPPES Registry Identity

NPI1104900455
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHENRY FORD HEALTH SYSTEM
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608 · (313) 916-2600
Organization SubpartNo
Authorized OfficialKelly RatowskiDirector-provider Affairs · (248) 703-2003
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1104900455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 830190
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2799 W GRAND BLVD, Detroit, MI 48202

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

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)

Henry Ford Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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 IDO20031210000341Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

574

Medicare enrollment records show 574 clinicians reassign Medicare billing to Henry Ford Health System, which bills Medicare for the services they deliver. Of these, 113 practice at this address and 272 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner573
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 574
Nurse Practitioner
NPI 1659850469
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114438819
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073139598
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750146437
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-9485
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376194951
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801178421
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-0547
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427724848
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467852863
2799 WEST GRAND BLVD. K-8 DEPARTMENT OF GENERAL SURGERY
Detroit, MI 48202
(313) 806-0041
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336547975
2799 W GRAND BLVD
Detroit, MI 48202
(800) 653-6568
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093248916
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2413
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518589704
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497376354
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275798399
2799 W GRAND BLVD
Detroit, MI 48202
(800) 653-6568
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851969224
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-4777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538815774
2799 W GRAND BLVD
Detroit, MI 48202
(800) 653-6568
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184212003
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154964427
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639560030
2799 W GRAND BLVD I-3 NORTH PAIN CLINIC
Detroit, MI 48202
(313) 916-7949
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295395473
2799 W GRAND BLVD
Detroit, MI 48202
(800) 653-6568
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679118483
2799 W GRAND BLVD
Detroit, MI 48202
(313) 817-8108
✔ PECOS✔ Accepts MedicareSame address
See all 574 clinicians

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 Henry Ford Health System's NPI number?

The NPI number for Henry Ford Health System is 1104900455. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Henry Ford Health System located?

Henry Ford Health System is located at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Henry Ford Health System's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Henry Ford Health System enrolled in Medicare?

Yes. Henry Ford Health System is registered in the Medicare PECOS enrollment system.

When is Henry Ford Health System'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 November 30, 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 Henry Ford Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 574 clinicians in 2 Medicare specialties reassign their Medicare billing to Henry Ford Health System. 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. The largest specialties are Nurse Practitioner (573) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 113 practice at this address and 272 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Henry Ford Health System accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Henry Ford Health System 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 Henry Ford Health System was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.