SANDY ANTOUN NP
NPI 1194084400
Nurse Practitioner in Royal Oak, MI

Active since May 07, 2012PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-4021 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandy Antoun Np NPPES

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

SANDY ANTOUN NP (NPI 1194084400) is an individual nurse practitioner in Royal Oak, Michigan, licensed in Michigan (4704272597) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1194084400
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDY ANTOUNCredential: NP
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1860 · Fax (313) 745-2777
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 7, 2012
Last NPPES UpdateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
NPI 1194084400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704272597
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704272597 (MI)
3601 W 13 MILE RD, Royal Oak, MI 48073

Secondary Practice Location 1

Location 14160 John R St, Suite 925Detroit, MI 48201-2020 · Phone (313) 745-2756 · Fax (313) 745-2777

Accepted 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

Sandy Antoun Np 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 ID5294017323
PECOS Enrollment IDI20170124002836
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
98 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 Sandy Antoun's NPI number?

The NPI number for Sandy Antoun is 1194084400. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Where is Sandy Antoun located?

Sandy Antoun practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-4021.

What is Sandy Antoun's specialty?

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

Is Sandy Antoun enrolled in Medicare?

Yes. Sandy Antoun 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 Sandy Antoun accept?

Health plans from Priority Health list Sandy Antoun 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.

Is Sandy Antoun affiliated with any hospitals?

According to CMS data, Sandy Antoun is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Sandy Antoun was last updated on January 20, 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.