ELIZABETH MACDONALD – Primary Care Nurse Practitioner, NPI 1740716752

ELIZABETH MACDONALD is a healthcare provider. based in Commerce township, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704286809 (MI). The NPI Number for ELIZABETH MACDONALD is 1740716752

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MACDONALD
NPI
1740716752
Phone
(248) 363-7109
Address
1990 Union Lake Rd Ste 100
Enumeration Date
11 May 2017
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8104946860
Graduation Year
2017 (9 years ago)
PAC ID
4587937321
Group Practice PAC ID
2466351440
Professional Enrollment ID
I20170830001631
Address ID
MI481147005BR2305XDRXX507
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for ELIZABETH MACDONALD

  • 1990 Union Lake Rd Ste 100

    Commerce Township, MI 483822200

    Phone: (248) 363-7109

    Type: Location

  • 2814 Silver Spring Dr

    Ann Arbor, MI 481038904

    Phone: (248) 763-5164

    Type: Location

  • 1040 S Winter St

    Adrian, MI 492213876

    Phone: (517) 264-5226

    Type: Location

  • 2814 SILVER SPRING DR

    ANN ARBOR, MI 481038904

    Phone: (248) 763-5164

    Type: Mailing

  • Lenawee County Health Department, 1040, South Winter Street, Adrian, Madison Charter Township, Lenawee County, Michigan, 49221, United States

    ADRIAN, MI 492213876

    Phone: (517) 264-5226

    Type: Location

  • 24 FRANK LLOYD WRIGHT DR STE J2000

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Mailing

  • 2305 GENOA BUSINESS PARK DR STE 220

    BRIGHTON, MI 481147005

    Phone: (810) 494-6860

    Fax: (810) 229-7012

    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: 2017-08-30

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
I20170830001631INurse 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 minutes2319$0
View full utilization report →

Insurance plans in this area (ZIP 48382)

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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: 2466351440View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
Interventional RadiologyMI
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Physician AssistantMI
-MI
-MI
Internal Medicine, Geriatric MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Family PracticeMI

Reviews

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Frequently asked questions

What number should I use to identify ELIZABETH MACDONALD for billing?
Administrative and clinical systems typically use NPI 1740716752 for ELIZABETH MACDONALD.
Is ELIZABETH MACDONALD's NPI status active today?
Active status means ELIZABETH MACDONALD's NPI record is not deactivated in the public file.
What type of care does ELIZABETH MACDONALD provide?
ELIZABETH MACDONALD's profile centers on Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELIZABETH MACDONALD?
ELIZABETH MACDONALD is associated with Commerce Township, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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