Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cienna Renee Lodge, NP

Individual provider Gerontology Nurse Practitioner · NPI 1811612690

Cienna Renee Lodge, NP is a Nurse Practitioner in West Bloomfield, Michigan. Qualified in 2022, 4 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (313) 938-1442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 — (616) 486-0310

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704338438 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704338438 (MI)

Record details

NPI number1811612690
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in West Bloomfield