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

Mrs. Soundra D Mackavich, NP-C

Individual provider Family Nurse Practitioner · NPI 1578891792

Mrs. Soundra D Mackavich, NP-C is a Nurse Practitioner in Pontiac, Michigan. Qualified in 2009, 17 years ago. Practices with M15 Family Care PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone: (248) 858-6591
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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 2488088 (MI)

Record details

NPI number1578891792
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedNovember 29, 2009
Last updated in NPPESNovember 29, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice M15 Family Care Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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