DR. DANIELLE ANSTETT NOLAN (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1902192453

DR. DANIELLE ANSTETT NOLAN (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301098491 (MI). The NPI Number for DR. DANIELLE ANSTETT NOLAN (M.D.) is 1902192453

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIELLE ANSTETT NOLAN (M.D.)
NPI
1902192453
Phone
(855) 863-8761
Address
3555 W 13 MILE RD STE N120
Enumeration Date
23 June 2011
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485513300
Graduation Year
2011 (15 years ago)
PAC ID
8820306053
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20170809002536
Address ID
MI480736710RO3581XBCCX601

Contacts

Secure Messaging
dnolan473830@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,204 PEDIATRIC MEDICINE in MI

Provider Addresses for DR. DANIELLE ANSTETT NOLAN (M.D.)

  • 3555 W 13 MILE RD STE N120

    ROYAL OAK, MI 480736710

    Phone: (855) 863-8761

    Fax: (248) 551-8190

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $2,957.

Total Amount is formed as General ($2,957) + Research ($0) + Ownership ($0) = $2,957.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Illumina, Inc. ($2,475).

Total Amount

$2,957

General + Research + Ownership

Payments

4

Total payment records

General Amount

$2,957

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Illumina, Inc.$2,475
NEUROPACE, INC.$482
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: 2017-08-09

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
I20170809002536IPediatric 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 48073)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What is DR. DANIELLE ANSTETT NOLAN (M.D.)'s NPI number?
DR. DANIELLE ANSTETT NOLAN (M.D.)'s NPI is 1902192453 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. DANIELLE ANSTETT NOLAN (M.D.)?
For scheduling context, DR. DANIELLE ANSTETT NOLAN (M.D.) is shown as active in the registry.
What clinical focus is listed for DR. DANIELLE ANSTETT NOLAN (M.D.)?
At a glance, DR. DANIELLE ANSTETT NOLAN (M.D.) is tied to Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DANIELLE ANSTETT NOLAN (M.D.)?
Directory geography for DR. DANIELLE ANSTETT NOLAN (M.D.) centers on Royal Oak, Michigan.
Does DR. DANIELLE ANSTETT NOLAN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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