ANDREA HARTFORD (DO) – Student in an Organized Health Care Education/Training Program, NPI 1063864569

ANDREA HARTFORD (DO) is a healthcare provider. based in Lake orion, Michigan. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. 5101027793 (MI). The NPI Number for ANDREA HARTFORD (DO) is 1063864569

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA HARTFORD (DO)
NPI
1063864569
Phone
(248) 845-4237
Address
1428 S LAPEER RD
Enumeration Date
7 July 2016
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Secondary Phone
2486930543
Graduation Year
2018 (8 years ago)
PAC ID
1850786450
Group Practice PAC ID
1254355878
Professional Enrollment ID
I20240203000031
Address ID
MI483601437LA1428XRDXX400
Telehealth
Yes

Contacts

Secure Messaging
ahartford754119@fhsce.catholichealth.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

158 OSTEOPATHIC MANIPULATIVE MEDICINE in MI

Provider Addresses for ANDREA HARTFORD (DO)

  • 1428 S LAPEER RD

    LAKE ORION, MI 483601437

    Phone: (248) 845-4237

    Fax: (248) 693-3683

    Type: Location

  • 5420, Delridge Way Southwest, Delridge, Seattle, King County, Washington, 98106, United States

    UNIT D

    SEATTLE, WA 981061449

    Phone: (413) 335-9547

    Type: Mailing

  • 6002 Westgate Blvd Ste 230

    Tacoma, WA 984062572

    Phone: (253) 761-2244

    Fax: (253) 761-1040

    Type: Location

  • 6002 WESTGATE BLVD STE 230

    TACOMA, WA 984062572

    Phone: (253) 761-2244

    Fax: (253) 761-1040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($70).

Total Amount

$249

General + Research + Ownership

Payments

13

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-03

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
I20240203000031IOsteopathic Manipulative MedicineMITBD

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 48360)

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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: 1254355878View full group profile
NameSpecialtyState
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Gynecological Oncology, Obstetrics/GynecologyMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Does ANDREA HARTFORD (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANDREA HARTFORD (DO) uses 1063864569.
Is ANDREA HARTFORD (DO) still practicing?
ANDREA HARTFORD (DO) is currently listed as active in the public NPI registry.
What is ANDREA HARTFORD (DO)'s specialty?
The listing groups ANDREA HARTFORD (DO) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What area does ANDREA HARTFORD (DO) serve?
ANDREA HARTFORD (DO)'s listing highlights Lake Orion, Michigan; more addresses can appear in NPPES.
Is the information about ANDREA HARTFORD (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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