MR. DOMINIC ONDIEKI ABUYA (FNP-BC) – Family Nurse Practitioner, NPI 1053984609

MR. DOMINIC ONDIEKI ABUYA (FNP-BC) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704301890 (MI). The NPI Number for MR. DOMINIC ONDIEKI ABUYA (FNP-BC) is 1053984609

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. DOMINIC ONDIEKI ABUYA (FNP-BC)
NPI
1053984609
Phone
Not provided
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
21 July 2021
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696375147
Graduation Year
2020 (6 years ago)
PAC ID
7517363575
Group Practice PAC ID
0143737148
Professional Enrollment ID
I20210831002186
Address ID
MI490901845SO850XXSTXX300

Contacts

Secure Messaging
dabuya176416@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

8,161 NURSE PRACTITIONER in MI

Provider Addresses for MR. DOMINIC ONDIEKI ABUYA (FNP-BC)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 145 MICHIGAN ST NE STE 3410

    GRAND RAPIDS, MI 495032563

    Phone: (616) 391-9945

    Type: Location

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: 2021-08-31

PECOS data refreshed: 2026-06-15

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
I20210831002186INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11459$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5123$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3325$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2720$0
99497Advance care planning, first 30 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 0143737148View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
General SurgeryMI
Nurse PractitionerOH
Nurse PractitionerMI
Nurse PractitionerOH
Family PracticeMI
Internal Medicine, Pediatric MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. DOMINIC ONDIEKI ABUYA (FNP-BC)?
MR. DOMINIC ONDIEKI ABUYA (FNP-BC) — NPI 1053984609 — is the standard way to identify this listing.
Can I rely on MR. DOMINIC ONDIEKI ABUYA (FNP-BC) being an active provider?
As of the registry snapshot, MR. DOMINIC ONDIEKI ABUYA (FNP-BC) is marked active.
What taxonomy line describes MR. DOMINIC ONDIEKI ABUYA (FNP-BC)?
For research purposes, treat MR. DOMINIC ONDIEKI ABUYA (FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MR. DOMINIC ONDIEKI ABUYA (FNP-BC) list a practice location?
Patients near Grand Rapids, Michigan may find MR. DOMINIC ONDIEKI ABUYA (FNP-BC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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