THERTULEINE NANA
NPI 1689266702
Nurse Practitioner - Family in Novi, MI

Active since February 10, 2021PECOS EnrolledAccepts Medicare Assignment
48300 W 11 MILE RD, NOVI, MI 48374(248) 662-2300 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Feb 10, 2021 (2 updates tracked since 2021).

About Thertuleine Nana NPPES

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

THERTULEINE NANA (NPI 1689266702) is an individual family provider in Novi, Michigan, licensed in Michigan (4704316518) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689266702
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERTULEINE NANA
Location Address48300 W 11 MILE RDNovi, MI 48374-1718
Mailing Address51218 Mayfair TerNovi, MI 48374-1019 · (248) 704-5302
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 10, 2021
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1689266702 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 · 4704316518
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704316518 (MI)
48300 W 11 MILE RD, Novi, MI 48374

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thertuleine Nana is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092283291
PECOS Enrollment IDI20260506001683
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
48300 W 11 MILE RD
NOVI, MI 48374

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 Thertuleine Nana's NPI number?

The NPI number for Thertuleine Nana is 1689266702. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Thertuleine Nana located?

Thertuleine Nana practices at 48300 W 11 Mile Rd, Novi, MI 48374. The listed phone number is (248) 662-2300.

What is Thertuleine Nana's specialty?

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

Is Thertuleine Nana enrolled in Medicare?

Yes. Thertuleine Nana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Thertuleine Nana was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.