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Nicole Pernell

Technician/Technologist β€’ Grosse Pointe Woods, MI

Active NPI 1538850185 Individual Practitioner Female Practitioner
Practice location in NPPES

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 482362893

Call 3133431370 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

19251 Mack Ave Ste M450

Grosse Pointe Woods, MI 482362893

Telephone 3133431370
Fax 2487120438
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sterling Heights, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grosse Pointe Woods and Michigan

61 active clinicians are listed under Technician/Technologist with a practice address in Grosse Pointe Woods, MI (2,666 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grosse Pointe Woods

0% of these 61 clinicians have the CMS telehealth indicator.

0% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2023-04-28
Technician/Technologist Primary Specialty

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

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

Secondary Practice Locations

33464 Schoenherr Rd, Ste 180

Sterling Heights, MI 483126392

Phone: 5862541500

Career & Practice History Timeline

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

7 Historical Events
βœ…
NPI Profile Active May 16, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 16, 2023

Registered at 19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 482362893 (Tel: 3133431370)

πŸ“
Business Mailing Address (Initial Record) May 16, 2023

Registered at 19251 MACK AVE STE M450, GROSSE POINTE WOODS, MI 482362893 (Tel: 3133431370)

🏒
Secondary Practice Location Registered May 16, 2023

Additional practice office at 33464 Schoenherr Rd, Ste 180, Sterling Heights, MI 483126392

πŸ‘€
Provider Name / Credentials (Initial Record) May 16, 2023

Recorded as NICOLE PERNELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2023

Technician/Technologist

🟒
Initial NPI Registration & Enumeration May 16, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538850185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2023
Last Update: May 16, 2023
Sole Proprietor: No

Mailing Address

19251 Mack Ave Ste M450

Grosse Pointe Woods, MI 482362893

Phone: 3133431370

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.