MS. NELLYNN L. HATCH P.A.-C
NPI 1942295837
Physician Assistant - Medical in Sterling Heights, MI

Q: What is Nellynn Hatch's NPI number?

The NPI number for Nellynn Hatch is 1942295837. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Nellynn Hatch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nellynn Hatch was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment

44344 DEQUINDRE RD STE 260, STERLING HEIGHTS, MI 48314(586) 323-1500(586) 323-1515 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Nellynn L. Hatch P.a.-c NPPES

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

MS. NELLYNN L. HATCH P.A.-C (NPI 1942295837) is an individual medical provider in Sterling Heights, Michigan, licensed in Michigan (5601002238) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1942295837

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. NELLYNN L. HATCHCredential: P.A.-C

Location Address44344 DEQUINDRE RD STE 260Sterling Heights, MI 48314-1040

Mailing Address44344 Dequindre Rd Ste 260Sterling Heights, MI 48314-1040 · (586) 323-1500 · Fax (586) 323-1515

Phone(586) 323-1500

Fax(586) 323-1515

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateSeptember 16, 2005

Last NPPES UpdateJuly 21, 2022

✔ NPI 1942295837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601002238

44344 DEQUINDRE RD STE 260, Sterling Heights, MI 48314

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Ms. Nellynn L. Hatch P.a.-c 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 ID4688604481

PECOS Enrollment IDI20050820000068

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 7

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

AUTUMN NICOLE GREENE PA-C

Physician Assistant