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

Active since February 17, 2026PECOS EnrolledAccepts Medicare Assignment
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: October 11, 2026.

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, is affiliated with Henry Ford Health Hospital, 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
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

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

Emma Elise Fillmore Agpcnp-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 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.

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

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.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 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.

Where is Emma Fillmore located?

Emma Fillmore practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.

What is Emma Fillmore's specialty?

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

Is Emma Fillmore enrolled in Medicare?

Yes. Emma Fillmore 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.

Is Emma Fillmore affiliated with any hospitals?

According to CMS data, Emma Fillmore is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

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 6 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.