Ivy Omorodion
NPI 1114810835 · Advanced Practice Midwife · Detroit, MI
Enrolled with Medicare as Practitioner - Certified Nurse Midwife (cnm) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Omorodion is a Advanced Practice Midwife provider in Detroit, MI (NPI 1114810835).
Provider details
- NPI number
- 1114810835
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704308033 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- Po Box 87889Canton, MI 48187-0889Phone: (567) 343-5792
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Frequently asked questions
- What is Ivy Omorodion's NPI number?
- Ivy Omorodion's National Provider Identifier (NPI) is 1114810835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivy Omorodion's specialty?
- Ivy Omorodion is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ivy Omorodion located?
- Ivy Omorodion's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2689.
- What is Ivy Omorodion's phone number?
- The practice phone number listed in the NPPES registry for Ivy Omorodion is (313) 916-2600.
- Does Ivy Omorodion accept Medicare?
- Ivy Omorodion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivy Omorodion's NPI active?
- Yes — Ivy Omorodion's NPI (1114810835) is active in the NPPES registry as of the last update on 2025-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.