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

Nadia Piccolo, FNP-C

Individual provider Family Nurse Practitioner · NPI 1205451259

Nadia Piccolo, FNP-C is a Nurse Practitioner in Walled Lake, Michigan. Qualified in 2020, 6 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

620 N Pontiac Trl
Walled Lake, MI 48390-3448
Phone: (248) 624-4511
Fax: (248) 624-4408
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704305895 (MI)

Record details

NPI number1205451259
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021
Mailing address27275 Haggerty Rd Ste 500, Novi, MI 48377-3635

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 Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walled Lake