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

KHAIRUNISSIA MEICHELLE GRANT
NPI 1801756044
Nurse Practitioner - Family in Detroit, MI

Q: 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.

Q: What is Khairunissia Grant's specialty?

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

Active since November 12, 2025PECOS Enrolled

3031 W GRAND BLVD, DETROIT, MI 48202(313) 916-2454 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1801756044

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKHAIRUNISSIA MEICHELLE GRANT

Location Address3031 W GRAND BLVDDetroit, MI 48202-3046

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(313) 916-2454

Sole ProprietorYes

Enumeration DateNovember 12, 2025

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1801756044 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 · 4704267384

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704267384 (MI)

3031 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Location 1

Location 125735 Curie AveWarren, MI 48091-3829 · Phone (313) 753-9111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khairunissia Meichelle Grant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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 20

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

MRS. KAREN ANN WHITE RN, BSN, CDE

Registered Nurse (Diabetes Educator)

3031 W GRAND BLVD, SUITE 800
DETROIT, MI 48202

Wayne County (313) 916-7359

DR. SEMIRA VASANTI GOPIE M.B.B.S.

General Acute Care Hospital

3031 W GRAND BLVD, SUITE 800
DETROIT, MI 48202

Wayne County (313) 916-3761

CHANELL RENEE JAMES

Doula

3031 W GRAND BLVD
DETROIT, MI 48202

Wayne County (313) 916-2600

ASIA JOYNER CNM

Advanced Practice Midwife

3031 W GRAND BLVD
DETROIT, MI 48202

Wayne County (313) 916-2600

MS. KELLY ANN MANN MSN, FNP-BC, CDE

Nurse Practitioner (Family)

3031 W GRAND BLVD, SUITE 800 ENDO METAB
DETROIT, MI 48202

Wayne County (313) 916-3906

DR. LAURIE LINDEN KOHEN M.D.

Dermatology

3031 W GRAND BLVD
DETROIT, MI 48202

Wayne County (313) 916-2171

DAVID M. OZOG M.D.

Dermatology (MOHS-Micrographic Surgery)

3031 W GRAND BLVD
DETROIT, MI 48202

Wayne County (313) 916-2454

SHOBANA SANKAR M.D

Internal Medicine (Rheumatology)

3031 W GRAND BLVD
DETROIT, MI 48202

Wayne County (313) 916-4824

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.

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 47 days 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.