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CLAUDIA J FALL PMHNP-BC
NPI 1013885714
Nurse Practitioner - Psychiatric/Mental Health in Manchester, MI

Active since October 25, 2025PECOS EnrolledAccepts Medicare Assignment
12500 SHERIDAN RD, MANCHESTER, MI 48158(517) 552-2222 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claudia J Fall Pmhnp-bc NPPES

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

CLAUDIA J FALL PMHNP-BC (NPI 1013885714) is an individual psychiatric/mental health provider in Manchester, Michigan, licensed in Michigan (4704390777) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013885714
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCLAUDIA J FALLCredential: PMHNP-BC
Location Address12500 SHERIDAN RDManchester, MI 48158-8601
Mailing Address12500 Sheridan RdManchester, MI 48158-8601 · (517) 552-2222
Phone(517) 552-2222
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 25, 2025
Last NPPES UpdateNovember 15, 2025
NPPES CertifiedNovember 15, 2025
✔ NPI 1013885714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704390777
12500 SHERIDAN RD, Manchester, MI 48158
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Claudia J Fall Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315423829
PECOS Enrollment IDI20260319000509
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48158 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

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 Claudia Fall's NPI number?

The NPI number for Claudia Fall is 1013885714. It was assigned to this individual provider in the NPPES registry on October 25, 2025.

Where is Claudia Fall located?

Claudia Fall practices at 12500 Sheridan Rd, Manchester, MI 48158. The listed phone number is (517) 552-2222.

What is Claudia Fall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Claudia Fall enrolled in Medicare?

Yes. Claudia Fall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Claudia Fall was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.