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GUILLERMO RAFAEL ETHIER DNP
NPI 1154012433
Nurse Practitioner in Royal Oak, MI

Active since May 17, 2023PECOS EnrolledAccepts Medicare Assignment
3230 GARDEN AVE, ROYAL OAK, MI 48073(810) 240-1102 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Guillermo Rafael Ethier Dnp NPPES

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

GUILLERMO RAFAEL ETHIER DNP (NPI 1154012433) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704371357) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2023).

NPPES Registry Identity

NPI1154012433
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGUILLERMO RAFAEL ETHIERCredential: DNP
Location Address3230 GARDEN AVERoyal Oak, MI 48073-6525
Mailing Address3230 Garden AveRoyal Oak, MI 48073-6525 · (810) 240-1102
Phone(810) 240-1102
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2023
Enumeration DateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1154012433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704371357
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3230 GARDEN AVE, Royal Oak, MI 48073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Guillermo Rafael Ethier Dnp 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 ID6406293620
PECOS Enrollment IDI20240325000372
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 48073 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 Guillermo Ethier's NPI number?

The NPI number for Guillermo Ethier is 1154012433. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Guillermo Ethier located?

Guillermo Ethier practices at 3230 Garden Ave, Royal Oak, MI 48073. The listed phone number is (810) 240-1102.

What is Guillermo Ethier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Guillermo Ethier enrolled in Medicare?

Yes. Guillermo Ethier 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.

What insurance does Guillermo Ethier accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Guillermo Ethier 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 Guillermo Ethier was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.