MICHELLE FORD – Family Nurse Practitioner, NPI 1477099422

MICHELLE FORD is a healthcare provider. based in Roseville, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704309683 (MI). The NPI Number for MICHELLE FORD is 1477099422

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE FORD
NPI
1477099422
Phone
Not provided
Address
20769 E 13 MILE RD
Enumeration Date
16 January 2017
Last Update Date
26 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488178682
Graduation Year
2016 (10 years ago)
PAC ID
6800172248
Group Practice PAC ID
6305188491
Professional Enrollment ID
I20170419000643
Address ID
MI480851101TR43037RDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MICHELLE FORD

  • 20769, East 13 Mile Road, Roseville, Macomb County, Michigan, 48066, United States

    ROSEVILLE, MI 480664503

    Phone:

    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: 2017-04-19

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
I20170419000643INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes161151$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus6968$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
99214Established patient office or other outpatient visit, 30-39 minutes4544$0
81003Automated urinalysis test3332$0
View full utilization report →

Insurance plans in this area (ZIP 48066)

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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: 6305188491View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerTN
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerCA
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

Can I verify MICHELLE FORD with an NPI only?
You can start verification with NPI 1477099422 for MICHELLE FORD, then check state licensing separately.
Is MICHELLE FORD still practicing?
MICHELLE FORD is currently listed as active in the public NPI registry.
What is MICHELLE FORD best known for clinically?
Directory data describes MICHELLE FORD with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MICHELLE FORD list a practice location?
Patients near Roseville, Michigan may find MICHELLE FORD in results; validate coverage separately.
Is the information about MICHELLE FORD up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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