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

Reene Shallal, FNP

Individual provider Family Nurse Practitioner · NPI 1356053904

Reene Shallal, FNP is a Nurse Practitioner in Bloomfield Hills, Michigan. Qualified in 2022, 4 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
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1961 S Telegraph Rd
Bloomfield Hills, MI 48302-0246
Phone: (248) 319-6190
Fax: (248) 607-6362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 W West Maple Rd, Walled Lake, MI 48390-3402 — (248) 624-4555

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704259539 (MI)

Record details

NPI number1356053904
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 14, 2022
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bloomfield Hills