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MARY MINOZA NP
NPI 1164167474
Nurse Practitioner - Family in Troy, MI

Active since May 02, 2022PECOS Enrolled
100 E BIG BEAVER RD STE 900, TROY, MI 48083(586) 445-2911 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2022, May 7, 2022 (2 updates tracked since 2022).

About Mary Minoza Np NPPES

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

MARY MINOZA NP (NPI 1164167474) is an individual family provider in Troy, Michigan, licensed in Michigan (4704334570NSA2202A) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164167474
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MINOZACredential: NP
Location Address100 E BIG BEAVER RD STE 900Troy, MI 48083-1250
Mailing Address100 E Big Beaver Rd Ste 900Troy, MI 48083-1250 · (586) 445-2911
Phone(586) 445-2911
Sole ProprietorNo
Enumeration DateMay 2, 2022
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1164167474 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 · 4704334570NSA2202A
100 E BIG BEAVER RD STE 900, Troy, MI 48083
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Minoza Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mary Minoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vpa PC
0.5 mi
Family Medicine
500 KIRTS BLVD, SUITE 200
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 279 clinicians in this Medicare group
NPI 1336153295 (800) 759-7291

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
32 services27 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
18 services11 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48083 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 Mary Minoza's NPI number?

The NPI number for Mary Minoza is 1164167474. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Mary Minoza located?

Mary Minoza practices at 100 E Big Beaver Rd Ste 900, Troy, MI 48083. The listed phone number is (586) 445-2911.

What is Mary Minoza's specialty?

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

Is Mary Minoza enrolled in Medicare?

Yes. Mary Minoza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Minoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Minoza reassigns Medicare benefits to Vpa PC (Troy, MI). The 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 Mary Minoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Minoza was last updated on May 11, 2022. 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.