ANDREA MARIE FOWLER (FNP-BC) – Family Nurse Practitioner, NPI 1144105883

ANDREA MARIE FOWLER (FNP-BC) is a healthcare provider. based in Royal oak, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704322391 (MI). The NPI Number for ANDREA MARIE FOWLER (FNP-BC) is 1144105883

Main info

Organization
1 Year Of Experience
Accepts Medicare Assignment
Name
ANDREA MARIE FOWLER (FNP-BC)
NPI
1144105883
Phone
(248) 840-0191
Address
2017 E 11 MILE RD
Enumeration Date
11 August 2025
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Secondary Phone
2482930055
Graduation Year
2025 (1 year ago)
PAC ID
2466956859
Group Practice PAC ID
8224923180
Professional Enrollment ID
I20250918002513
Address ID
MI483076117RO1701XEXXX404
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

8,161 NURSE PRACTITIONER in MI

Provider Addresses for ANDREA MARIE FOWLER (FNP-BC)

  • 2017 E 11 MILE RD

    ROYAL OAK, MI 480672331

    Phone: (248) 840-0191

    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: 2025-09-18

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
I20250918002513INurse 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 48067)

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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: 8224923180View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Cardiovascular Disease (Cardiology)MI
Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I verify ANDREA MARIE FOWLER (FNP-BC) with an NPI only?
You can start verification with NPI 1144105883 for ANDREA MARIE FOWLER (FNP-BC), then check state licensing separately.
Is ANDREA MARIE FOWLER (FNP-BC) listed as active for patients and plans?
The listing shows ANDREA MARIE FOWLER (FNP-BC) as active in the NPI system.
What is ANDREA MARIE FOWLER (FNP-BC) best known for clinically?
Directory data describes ANDREA MARIE FOWLER (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ANDREA MARIE FOWLER (FNP-BC) list a practice location?
Patients near Royal Oak, Michigan may find ANDREA MARIE FOWLER (FNP-BC) in results; validate coverage separately.
Why does ANDREA MARIE FOWLER (FNP-BC) 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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