Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaime Edward Porrazzo, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1447148358

Jaime Edward Porrazzo, AGACNP-BC is a Nurse Practitioner in Grosse Pointe, Michigan. Qualified in 2024, 2 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone: (313) 473-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704329762 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704329762 (MI)

Record details

NPI number1447148358
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedJune 27, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grosse Pointe