SADE ANDREA PITTS (FNP-BC) – Nurse Practitioner, NPI 1043190697

SADE ANDREA PITTS (FNP-BC) is a healthcare provider. based in Clawson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704335129 (MI). The NPI Number for SADE ANDREA PITTS (FNP-BC) is 1043190697

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SADE ANDREA PITTS (FNP-BC)
NPI
1043190697
Phone
(866) 389-2727
Address
1402 W 14 MILE RD
Enumeration Date
4 September 2025
Last Update Date
20 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2024 (2 years ago)
PAC ID
1355839424
Group Practice PAC ID
9133123755
Professional Enrollment ID
I20251021002784
Address ID
MI480171499CL1402XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for SADE ANDREA PITTS (FNP-BC)

  • 1402 W 14 MILE RD

    CLAWSON, MI 480171499

    Phone: (866) 389-2727

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251021002784INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133123755View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

What is the registry number for SADE ANDREA PITTS (FNP-BC)?
The registry entry for SADE ANDREA PITTS (FNP-BC) shows NPI 1043190697.
Quick check: is SADE ANDREA PITTS (FNP-BC) active?
Public NPPES data shows SADE ANDREA PITTS (FNP-BC) with an active NPI status right now.
What services align with SADE ANDREA PITTS (FNP-BC)'s listing?
SADE ANDREA PITTS (FNP-BC)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SADE ANDREA PITTS (FNP-BC)?
SADE ANDREA PITTS (FNP-BC) is associated with Clawson, Michigan in the same public data insurers reference.
Can I export SADE ANDREA PITTS (FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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