EMMA ELISE FILLMORE AGPCNP-BC
NPI 1114870599
Nurse Practitioner - Adult Health in Detroit, MI

Q: What is Emma Fillmore's NPI number?

The NPI number for Emma Fillmore is 1114870599. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Q: What is Emma Fillmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Emma Fillmore was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 17, 2026PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Emma Elise Fillmore Agpcnp-bc NPPES

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

EMMA ELISE FILLMORE AGPCNP-BC (NPI 1114870599) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704374723) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2025).

NPPES Registry Identity

NPI1114870599

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameEMMA ELISE FILLMORECredential: AGPCNP-BC

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2799 W Grand BlvdDetroit, MI 48202-2608 · (313) 916-2600

Phone(313) 916-2600

Sole ProprietorNo

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2025

Enumeration DateFebruary 17, 2026

Last NPPES UpdateMarch 30, 2026

NPPES CertifiedMarch 30, 2026

✔ NPI 1114870599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704374723

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2025063454 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Elise Fillmore Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779051123

PECOS Enrollment IDI20260505001461

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 48202 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.

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.

HENRY FORD HOSPITAL

General Acute Care Hospital