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BRANDON MICHAEL TATAR MSN, APRN, ACCNS-AG
NPI 1003513730
Clinical Nurse Specialist - Acute Care in Warren, MI

Active since February 13, 2023PECOS Enrolled
11800 E 12 MILE RD, WARREN, MI 48093(586) 854-1108 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, Feb 13, 2023 (2 updates tracked since 2023).

About Brandon Michael Tatar Msn, Aprn, Accns-ag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON MICHAEL TATAR MSN, APRN, ACCNS-AG (NPI 1003513730) is an individual acute care provider in Warren, Michigan, licensed in Michigan (4704363198) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Baltimore, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003513730
Entity TypeIndividualMale
Primary Taxonomy364SA2100X
Provider Legal NameBRANDON MICHAEL TATARCredential: MSN, APRN, ACCNS-AG
Location Address11800 E 12 MILE RDWarren, MI 48093-3472
Mailing Address53460 Meadow View LnNew Baltimore, MI 48047-5841 · (586) 854-1108
Phone(586) 854-1108
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 13, 2023
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1003513730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2100X
License✔ Licensed in MI · 4704363198
11800 E 12 MILE RD, Warren, MI 48093
Open in Google Maps ↗

Secondary Practice Location 1

Location 153460 Meadow View LnNew Baltimore, MI 48047-5841 · Phone (586) 854-1108

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Michael Tatar Msn, Aprn, Accns-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870063571
PECOS Enrollment IDI20260522001627
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Brandon Tatar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health Macomb Oakland Hospital
0.1 mi
Nurse Practitioner
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 58 clinicians in this Medicare group
NPI 1578696092 (586) 573-5000
Henry Ford Health St. John Hospital
9.6 mi
Nurse Practitioner
1 FORD PL STE 3A
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 30 clinicians in this Medicare group
NPI 1700831500 (248) 680-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHEAL BUGGIA M.D.
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
TRICOUNTY HOSPITALISTS, PLLC
Hospitalist
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
KIMBERLY A MANZAROLI CRNA
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5260
DOMIAN KANDAH D.O.
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5059
AUTUMN BJORNSTAD MA, CCC-SLP
Speech-Language Pathologist
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 576-4381
MRS. LAUREN ASHLEY ZIPAY AGACNP-BC
Nurse Practitioner (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
METODIJA NAUMOVSKI CRNA
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5260
DAVID J VAN DAM CRNA
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Tatar's NPI number?

The NPI number for Brandon Tatar is 1003513730. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Brandon Tatar located?

Brandon Tatar practices at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 854-1108.

What is Brandon Tatar's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.

Is Brandon Tatar enrolled in Medicare?

Yes. Brandon Tatar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brandon Tatar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Tatar reassigns Medicare benefits to 2 organizations: Henry Ford Health Macomb Oakland Hospital (Warren, MI) and Henry Ford Health St. John Hospital (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Tatar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Tatar accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Brandon Tatar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Tatar was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.