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

Tina Crocenzi

Individual provider Nurse Practitioner · NPI 1538638564

Tina Crocenzi is a Nurse Practitioner in Clinton Township, Michigan. Qualified in 2018, 8 years ago. Practices with McLaren Medical Group, a 247-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018

Practice location Address checks out

38770 Garfield Rd Ste 102
Clinton Township, MI 48038-6631
Phone: (586) 421-4204
Fax: (586) 421-4222
Show map & directions

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

Additional practice locations (2)

  • 30700 Telegraph Rd Ste 15401, Bingham Farms, MI 48025-4524 — (313) 631-7878
  • 4856 Hagerman Rd, Leonard, MI 48367-1822 — (586) 531-0587

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704281506 (MI)

Record details

NPI number1538638564
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2018
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address38770 Garfield Rd Ste 102, Clinton Township, MI 48038-6631

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice McLaren Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Township