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

Megan Fridley

Individual provider Nurse Practitioner · NPI 1134682149

Megan Fridley is a Nurse Practitioner in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices with Great Lakes Physiatrists PC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 — (313) 473-6899

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704295736 (MI)

Record details

NPI number1134682149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Great Lakes Physiatrists Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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