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

Elissa Cibulka, FNP

Individual provider Family Nurse Practitioner · NPI 1558177287

Elissa Cibulka, FNP is a Nurse Practitioner in Detroit, Michigan. Graduated from University of Michigan Medical School in 2024, 2 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704362170 (MI)

Record details

NPI number1558177287
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 7, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2024 (2 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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