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PETRIT HILA AGPCNP-BC
NPI 1184580078
Nurse Practitioner - Adult Health in Saginaw, MI

Active since January 05, 2026PECOS Enrolled
4701 TOWNE CENTRE RD STE 203, SAGINAW, MI 48604(989) 792-2792(989) 792-1792 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Petrit Hila Agpcnp-bc NPPES

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

PETRIT HILA AGPCNP-BC (NPI 1184580078) is an individual adult health provider in Saginaw, Michigan, licensed in Michigan (4704391205) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2025).

NPPES Registry Identity

NPI1184580078
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NamePETRIT HILACredential: AGPCNP-BC
Location Address4701 TOWNE CENTRE RD STE 203Saginaw, MI 48604-2833
Mailing Address4701 Towne Centre Rd Ste 203Saginaw, MI 48604-2833 · (989) 792-2792 · Fax (989) 792-1792
Phone(989) 792-2792
Fax(989) 792-1792
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2025
Enumeration DateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1184580078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704391205
4701 TOWNE CENTRE RD STE 203, Saginaw, MI 48604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petrit Hila Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880177542
PECOS Enrollment IDI20260311000274
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 Petrit Hila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Narendra R Kumar M.D, PC
5.9 mi
Otolaryngology
4701 TOWNE CENTRE RD, STE 201
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Narendra R Kumar MD PC
  • 8 clinicians in this Medicare group
NPI 1417039603 (989) 793-1040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COOPER N PHIBBS FNP-BC
Nurse Practitioner (Family)
4701 TOWNE CENTRE RD STE 203
SAGINAW, MI 48604
Saginaw County (989) 792-2792
JUDITH CHEPKEMBOI YEGO FNP
Nurse Practitioner (Family)
4701 TOWNE CENTRE RD STE 203
SAGINAW, MI 48604
Saginaw County (989) 792-2792

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 Petrit Hila's NPI number?

The NPI number for Petrit Hila is 1184580078. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Petrit Hila located?

Petrit Hila practices at 4701 Towne Centre Rd Ste 203, Saginaw, MI 48604. The listed phone number is (989) 792-2792.

What is Petrit Hila's specialty?

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

Is Petrit Hila enrolled in Medicare?

Yes. Petrit Hila is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Petrit Hila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petrit Hila reassigns Medicare benefits to Narendra R Kumar M.D, PC (Saginaw, 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 Petrit Hila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Petrit Hila accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Petrit Hila 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 Petrit Hila was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.