Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HENRY FORD HEALTH ST. JOHN HOSPITAL
NPI 1700831500
Nurse Practitioner in Detroit, MI

Q: What is Henry Ford Health St. John Hospital's NPI number?

The NPI number for Henry Ford Health St. John Hospital is 1700831500. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is also known as St John Hospital Nurse Practitioner.

Q: What is Henry Ford Health St. John Hospital's specialty?

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

Active since May 23, 2006

1 FORD PL STE 3A, DETROIT, MI 48202(248) 680-8000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2026, Nov 14, 2025, Nov 15, 2023 and 2 more (5 updates tracked since 2018).

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About Henry Ford Health St. John Hospital NPPES

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

HENRY FORD HEALTH ST. JOHN HOSPITAL (NPI 1700831500) is a healthcare organization registered as a nurse practitioner in Detroit, Michigan and active in the NPI registry since May 2006. The organization lists Kimberly Cebalt, Manager Provider Affairs, as its authorized official.

NPPES Registry Identity

NPI1700831500

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameHENRY FORD HEALTH ST. JOHN HOSPITAL

Location Address1 FORD PL STE 3ADetroit, MI 48202-3450

Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 999-5829 · Fax (248) 641-4840

Phone(248) 680-8000

Organization SubpartNo

Authorized OfficialKimberly CebaltManager Provider Affairs · (313) 874-6764

Enumeration DateMay 23, 2006

Last NPPES UpdateJuly 16, 20265 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1700831500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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 ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

1 FORD PL STE 3A, Detroit, MI 48202

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Other Names 1

Other NameSt John Hospital Nurse Practitioner

Other Identifiers 1

OtherOH 21741MI · Np Bcbsm Group Number

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

ALEXANDRA KINCAID CRNA

Nurse Anesthetist, Certified Registered