ANDREA KAY DORMAN (NP) – Acute Care Nurse Practitioner, NPI 1245469592
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Loading map...
Provider Addresses for ANDREA KAY DORMAN (NP)
21550 HARRINGTON ST
STE C
CLINTON TOWNSHIP, MI 480362362
Phone: (313) 343-3904
Type: Mailing
St. John Hospital and Medical Center, 22101, Moross Road, Detroit, Wayne County, Michigan, 48236, United States
DETROIT, MI 482362148
Phone: (313) 343-3904
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $691.
Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Boston Scientific Corporation ($212).
Total Amount
$691
General + Research + Ownership
Payments
22
Total payment records
General Amount
$691
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100302000804 | I | Nurse Practitioner | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93288 | Evaluation of single, dual, multiple lead or leadless pacemaker system | 16 | 14 | $0 |
Insurance plans in this area (ZIP 48036)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Vascular Surgery, General Surgery | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.