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

Kimberly O'Shaughnessy

Individual provider Oncology Registered Nurse · NPI 1265053177

Kimberly O'Shaughnessy is a Nurse Practitioner in Novi, Michigan. Qualified in 2020, 6 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
Specialties on file
3

Practice location Address checks out

39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone: (248) 344-6688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-7043

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704285718 (MI)
Oncology Registered Nurse Taxonomy 163WX0200X · Licence 4704285718 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704285718 (MI)

Record details

NPI number1265053177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services