MRS. DEBRA A. DAMIOLI (N.P.) – Nurse Practitioner, NPI 1053718791

MRS. DEBRA A. DAMIOLI (N.P.) is a healthcare provider. based in Clinton twp, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 4704237762 (MI). The NPI Number for MRS. DEBRA A. DAMIOLI (N.P.) is 1053718791

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEBRA A. DAMIOLI (N.P.)
NPI
1053718791
Phone
(586) 226-1387
Address
42855 GARFIELD RD STE 105
Enumeration Date
24 November 2014
Last Update Date
24 November 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5867264823
Graduation Year
2014 (12 years ago)
PAC ID
5890099543
Group Practice PAC ID
8325020332
Professional Enrollment ID
I20191021002653
Address ID
MI483131972ST43455RDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. DEBRA A. DAMIOLI (N.P.)

  • 42855 GARFIELD RD STE 105

    CLINTON TWP, MI 480385027

    Phone: (586) 226-1387

    Fax: (586) 226-1859

    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: 2019-10-21

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
I20191021002653INurse 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 48038)

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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: 8325020332View full group profile
NameSpecialtyState
Family PracticeMI
Internal MedicineMI
Family PracticeMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
General PracticeMI
Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
-MI
-MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. DEBRA A. DAMIOLI (N.P.)?
MRS. DEBRA A. DAMIOLI (N.P.) — NPI 1053718791 — is the standard way to identify this listing.
Can I rely on MRS. DEBRA A. DAMIOLI (N.P.) being an active provider?
As of the registry snapshot, MRS. DEBRA A. DAMIOLI (N.P.) is marked active.
What is MRS. DEBRA A. DAMIOLI (N.P.)'s primary classification?
Nurse Practitioner is the headline specialty for MRS. DEBRA A. DAMIOLI (N.P.) here. Clinical services aligned with this taxonomy classification.
Where is MRS. DEBRA A. DAMIOLI (N.P.) based?
MRS. DEBRA A. DAMIOLI (N.P.) is tied to Clinton Twp, Michigan in the data we show; additional addresses may exist on the full record.
Why does MRS. DEBRA A. DAMIOLI (N.P.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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