MR. DOMINIC ONDIEKI ABUYA FNP-BC
NPI 1053984609
Nurse Practitioner - Family in Grand Rapids, MI

Active since July 21, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
145 MICHIGAN ST NE STE 3410, GRAND RAPIDS, MI 49503(616) 391-9945 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2021, Jul 21, 2021 (2 updates tracked since 2021).

About Mr. Dominic Ondieki Abuya Fnp-bc NPPES

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

MR. DOMINIC ONDIEKI ABUYA FNP-BC (NPI 1053984609) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704301890) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053984609
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DOMINIC ONDIEKI ABUYACredential: FNP-BC
Location Address145 MICHIGAN ST NE STE 3410Grand Rapids, MI 49503-2563
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2021
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1053984609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704301890
145 MICHIGAN ST NE STE 3410, Grand Rapids, MI 49503

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

Mr. Dominic Ondieki Abuya Fnp-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 ID7517363575
PECOS Enrollment IDI20210831002186
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

4

Medicare enrollment records show Dominic Abuya reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
Family Medicine
13811 MYRTLE DR
Dewitt, MI 48820
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
Internal Medicine
6247 GRAND RIVER RD STE 400
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
50 services21 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
31 services16 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$73.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Hospice and Palliative Medicine)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503
Internal Medicine (Hospice and Palliative Medicine)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503
Internal Medicine (Hospice and Palliative Medicine)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503
Internal Medicine (Hospice and Palliative Medicine)
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503

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 Dominic Abuya's NPI number?

The NPI number for Dominic Abuya is 1053984609. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Dominic Abuya located?

Dominic Abuya practices at 145 Michigan St NE Ste 3410, Grand Rapids, MI 49503. The listed phone number is (616) 391-9945.

What is Dominic Abuya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dominic Abuya enrolled in Medicare?

Yes. Dominic Abuya 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 Dominic Abuya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Abuya reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Michigan Family Medicine And Urgent Care (Dewitt, MI), Theoria Medical (Brighton, MI) and Complexcare Medical Group Midwest H PLLC (Novi, 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 Dominic Abuya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominic Abuya 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 2 other insurers list Dominic Abuya 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 Dominic Abuya was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.