KHAIRUNISSIA MEICHELLE GRANT
NPI 1801756044
Nurse Practitioner - Family in Detroit, MI
About Khairunissia Meichelle Grant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHAIRUNISSIA MEICHELLE GRANT (NPI 1801756044) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704267384) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Khairunissia Meichelle Grant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Khairunissia Grant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 577 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48202
DETROIT, MI 48202
DETROIT, MI 48202
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 Khairunissia Grant's NPI number?
The NPI number for Khairunissia Grant is 1801756044. It was assigned to this individual provider in the NPPES registry on November 12, 2025.
Where is Khairunissia Grant located?
Khairunissia Grant practices at 3031 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2454.
What is Khairunissia Grant's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Khairunissia Grant enrolled in Medicare?
Yes. Khairunissia Grant is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Khairunissia Grant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khairunissia Grant reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The 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 Khairunissia Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khairunissia Grant 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 Khairunissia Grant 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 Khairunissia Grant was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Khairunissia Meichelle Grant · NPI 1801756044
Family physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since November 12, 2025.
## Identity
- **NPI:** 1801756044 (Entity type: Individual)
- **Enumerated:** November 12, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704267384 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3031 W GRAND BLVD, Detroit, MI 48202-3046
- **Phone:** (313) 916-2454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Henry Ford Health System (NPI 1104900455, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801756044) · Data from the CMS NPPES public registry.