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MR. DOUGLAS EDWARD ELSEY FNP
NPI 1366990061
Nurse Practitioner - Family in New Haven, MI

Active since September 12, 2016
58115 MAIN ST, NEW HAVEN, MI 48048(586) 749-4444 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2016, Sep 12, 2016 (2 updates tracked since 2016).

About Mr. Douglas Edward Elsey Fnp NPPES

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

MR. DOUGLAS EDWARD ELSEY FNP (NPI 1366990061) is an individual family provider in New Haven, Michigan, licensed in Michigan (4704280725) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1366990061
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DOUGLAS EDWARD ELSEYCredential: FNP
Location Address58115 MAIN STNew Haven, MI 48048-2686
Mailing Address58115 Main StNew Haven, MI 48048-2686 · (586) 749-4444
Phone(586) 749-4444
Sole ProprietorNo
Enumeration DateSeptember 12, 2016
Last NPPES UpdateSeptember 30, 20162 updates tracked since enumeration
✔ NPI 1366990061 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
License✔ Licensed in MI · 4704280725
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704280725 (MI)
58115 MAIN ST, New Haven, MI 48048
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE MIYOUNG VONDRACHEK M.D.
Pediatrics
58115 MAIN ST
NEW HAVEN, MI 48048
Macomb County (586) 749-4444
ALEXIS ROBIN BALOMENOS M.D.
Pediatrics
58115 MAIN ST
NEW HAVEN, MI 48048
Macomb County (586) 749-4444
TENDER CARE PEDIATRICS, PLLC
Pediatrics
58115 MAIN ST
NEW HAVEN, MI 48048
Macomb County (586) 749-4444

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 Douglas Elsey's NPI number?

The NPI number for Douglas Elsey is 1366990061. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Douglas Elsey located?

Douglas Elsey practices at 58115 Main St, New Haven, MI 48048. The listed phone number is (586) 749-4444.

What is Douglas Elsey's specialty?

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

When was this NPI record last updated?

The NPPES record for Douglas Elsey was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.