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

Richard H Declercq, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1821402678

Richard H Declercq, AGACNP is a Nurse Practitioner in Novi, Michigan. Qualified in 2014, 12 years ago. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014

Practice location Address checks out

28455 Haggerty Rd Ste 200
Novi, MI 48377-2982
Phone: (248) 893-3200
Fax: (248) 893-2950
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704207432 (MI)

Record details

NPI number1821402678
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 19, 2014
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address6676 Solutions Ctr, Chicago, IL 60677-6006

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Novi