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

MS. Shelley Antonucci, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1497211338

MS. Shelley Antonucci, NURSEPRACTITIONER is a Nurse Practitioner in Detroit, Michigan. Qualified in 2017, 9 years ago. Practices with Nephro-Care MD PLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

17187 Schaefer Hwy
Detroit, MI 48235-4132
Phone: (313) 960-6605
Fax: (248) 595-8269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704261629 (MI)

Record details

NPI number1497211338
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 15, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nephro-Care Md Plc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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