Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kreymohney Desiree Wade , SPECIALIST

Physician β€’ Ann Arbor, MI

Active NPI 1659065019 Individual Practitioner Female Practitioner
Practice location in NPPES

122 S Main St Ste 110
Ann Arbor, MI 481041925

Call 7345981564 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

122 S Main St Ste 110

Ann Arbor, MI 481041925

Telephone 7345981564
Fax 7344078783
Organization at the Same NPPES Address or Phone
Elaborate You Hair Lash Aesthetics Llc Facility NPI 1871468637

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Kreymohney Wade as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-12
Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 12, 2026

Recorded as KREYMOHNEY WADE, SPECIALIST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2025

Prosthetic/Orthotic Supplier

πŸ“
Updated Practice Location August 13, 2025

Registered at 122 S MAIN ST STE 110, ANN ARBOR, MI 481041925 (Tel: 7345981564)

πŸ“
Updated Business Mailing Address August 13, 2025

Registered at 122 S MAIN ST STE 110, ANN ARBOR, MI 481041925 (Tel: 7345981564)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2025

Durable Medical Equipment & Medical Supplies

πŸ“
Updated Business Mailing Address February 03, 2025

Registered at 7081 MAPLELAWN DR, YPSILANTI, MI 481971764 (Tel: 7345981564)

βœ…
NPI Profile Active June 07, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 07, 2023

Registered at 124 PEARL ST STE 101, YPSILANTI, MI 481975374 (Tel: 7343537197)

πŸ“
Business Mailing Address (Initial Record) June 07, 2023

Registered at PO BOX 397, LUNA PIER, MI 481570397 (Tel: 7343537197)

πŸ‘€
Provider Name / Credentials (Initial Record) June 07, 2023

Recorded as KREYMOHNEY ROBINSON, SPECIALIST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2023

Prosthetic/Orthotic Supplier

🟒
Initial NPI Registration & Enumeration June 07, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1659065019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2023
Last Update: September 12, 2026
Sole Proprietor: Yes

Mailing Address

122 S Main St Ste 110

Ann Arbor, MI 481041925

Phone: 7345981564

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.