Unknown Individual – Adult Health Nurse Practitioner, NPI 1053551812
Adult Health Nurse Practitioner
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NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2799 W GRAND BLVD
DETROIT, MI 482022608
Phone: (313) 916-4417
Type: Mailing
Henry Ford Medical Center - Fairlane, 19401, Hubbard Drive, Dearborn, Wayne County, Michigan, 48126, United States
DEPARTMENT OF NEPHROLOGY
DEARBORN, MI 48126
Phone: (313) 441-1160
Fax: (313) 441-1870
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 47 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 32 | 29 | $0 |
| G9488 | Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed ex | 14 | 12 | $0 |
Insurance plans in this area (ZIP 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Gastroenterology, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Qualified Audiologist | MI | |
| O P H T H A L M O L O G Y | MI | |
| - | MI | |
| - | MI |
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