SOPHONIE EDGLA PHILIDOR
NPI 1194411884
Nurse Practitioner in Lansing, MI

Q: What is Sophonie Philidor's NPI number?

The NPI number for Sophonie Philidor is 1194411884. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Q: What is Sophonie Philidor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sophonie Philidor was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 14, 2023PECOS EnrolledAccepts Medicare Assignment

2900 COLLINS RD, LANSING, MI 48910(517) 975-6000 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2024, Apr 14, 2023 (2 updates tracked since 2023).

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About Sophonie Edgla Philidor NPPES

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

SOPHONIE EDGLA PHILIDOR (NPI 1194411884) is an individual nurse practitioner in Lansing, Michigan, licensed in Michigan (4704324784) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194411884

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSOPHONIE EDGLA PHILIDOR

Location Address2900 COLLINS RDLansing, MI 48910-8394

Mailing Address1607 Snyder RdEast Lansing, MI 48823-3747 · (517) 862-6838

Phone(517) 975-6000

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 14, 2023

Last NPPES UpdateMay 16, 20242 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1194411884 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 · 4704324784

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 4704324784 (MI)

2900 COLLINS RD, Lansing, MI 48910

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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, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sophonie Edgla Philidor 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 ID6406388271

PECOS Enrollment IDI20250203002773

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 Reassignments

Medicare enrollment records show Sophonie Philidor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Flushing Urgent Care Plc

44 mi

Urgent Care

6020 W PIERSON RD
Flushing, MI 48433

Reassigned Medicare billing, Michigan enrollment
64 clinicians in this Medicare group

NPI 1780930016 (810) 720-1200

Signify Health Medical Associates, PLLC

952 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Michigan enrollment
666 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 48910 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 20

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

ANNA SALL DO

Student in an Organized Health Care Education/Training Program