JUDITH MARIE KRAUSE
NPI 1053070896
Nurse Practitioner - Acute Care in Pontiac, MI

Active since December 09, 2021PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
44405 WOODWARD AVE STE 202, PONTIAC, MI 48341(248) 858-2270(248) 335-6171 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2023, Feb 12, 2022, Dec 9, 2021 (3 updates tracked since 2021).

About Judith Marie Krause NPPES

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

JUDITH MARIE KRAUSE (NPI 1053070896) is an individual acute care provider in Pontiac, Michigan, licensed in Michigan (2021209160) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053070896
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJUDITH MARIE KRAUSE
Location Address44405 WOODWARD AVE STE 202Pontiac, MI 48341-5023
Mailing Address24 Frank Lloyd Wright DrAnn Arbor, MI 48105-9484
Fax(248) 335-6171
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2021
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1053070896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 2021209160
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704327117 (MI)
44405 WOODWARD AVE STE 202, Pontiac, MI 48341

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judith Marie Krause 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 ID6800271867
PECOS Enrollment IDI20220913000506
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 Judith Krause reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
44405 WOODWARD AVE STE 202
Pontiac, MI 48341
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
Family Medicine
28300 ORCHARD LAKE RD STE 103
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

Other Providers at the Same Location NPPES 3

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

Physician Assistant
44405 WOODWARD AVE STE 202
PONTIAC, MI 48341
Internal Medicine (Hematology & Oncology)
44405 WOODWARD AVE STE 202
PONTIAC, MI 48341
Nurse Practitioner (Family)
44405 WOODWARD AVE STE 202
PONTIAC, MI 48341

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 Judith Krause's NPI number?

The NPI number for Judith Krause is 1053070896. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is Judith Krause located?

Judith Krause practices at 44405 Woodward Ave Ste 202, Pontiac, MI 48341. The listed phone number is (248) 858-2270.

What is Judith Krause's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Judith Krause enrolled in Medicare?

Yes. Judith Krause 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.

Which organizations bill Medicare for Judith Krause's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Krause reassigns Medicare benefits to 2 organizations: Iha Olma Specialty Services LLC (Pontiac, MI) and Iha Health Services Corporation (Farmington Hills, 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 Judith Krause's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Krause accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Judith Krause 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.

Is Judith Krause affiliated with any hospitals?

According to CMS data, Judith Krause is affiliated with St Joe Mercy Hospital System Livonia, Trinity Health Oakland Hospital and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Judith Krause was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.