MARCUS MACDONALD NP
NPI 1194471763
Nurse Practitioner in Redford, MI
About Marcus Macdonald Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCUS MACDONALD NP (NPI 1194471763) is an individual nurse practitioner in Redford, Michigan, licensed in Michigan (4704314802) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Marcus Macdonald 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.
Medicare Billing Reassignments
17Medicare enrollment records show Marcus Macdonald reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redford, MI 48239
- Reassigned Medicare billing, Michigan enrollment
- 102 clinicians in this Medicare group
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 407 clinicians in this Medicare group
Southfield, MI 48076
- Reassigned Medicare billing, Michigan enrollment
- 51 clinicians in this Medicare group
Taylor, MI 48180
- Reassigned Medicare billing, Michigan enrollment
- 129 clinicians in this Medicare group
Canton, MI 48187
- Reassigned Medicare billing, Michigan enrollment
- 92 clinicians in this Medicare group
Troy, MI 48085
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Commerce Twp, MI 48382
- Reassigned Medicare billing, Michigan enrollment
- 89 clinicians in this Medicare group
Sterling Heights, MI 48314
- Reassigned Medicare billing, Michigan enrollment
- 64 clinicians in this Medicare group
Ypsilanti, MI 48197
- Reassigned Medicare billing, Michigan enrollment
- 96 clinicians in this Medicare group
Rochester Hills, MI 48309
- Reassigned Medicare billing, Michigan enrollment
- 91 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Promedica Charles And Virginia Hickman Hospital
Acute Care Hospitals · Adrian, MIEdward W Sparrow Hospital
Acute Care Hospitals · Lansing, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
REDFORD, MI 48239
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 Marcus Macdonald's NPI number?
The NPI number for Marcus Macdonald is 1194471763. It was assigned to this individual provider in the NPPES registry on February 23, 2022.
Where is Marcus Macdonald located?
Marcus Macdonald practices at 14671 Telegraph Rd, Redford, MI 48239. The listed phone number is (313) 948-3055.
What is Marcus Macdonald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Marcus Macdonald enrolled in Medicare?
Yes. Marcus Macdonald 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.
Which organizations bill Medicare for Marcus Macdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Macdonald reassigns Medicare benefits to 17 organizations: Best Urgent Care PC (Redford, MI), Vhs Physicians Of Michigan (Southfield, MI), Doctors Urgent Care Southfield (Southfield, MI), Taylor Urgent Care PC (Taylor, MI), Canton Urgent Care Walk-In Clinic PC (Canton, MI) and 12 more organizations, listed in the Medicare section above. Each 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 Marcus Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marcus Macdonald accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Marcus Macdonald 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 Marcus Macdonald affiliated with any hospitals?
According to CMS data, Marcus Macdonald is affiliated with Promedica Charles And Virginia Hickman Hospital and Edward W Sparrow Hospital.
When was this NPI record last updated?
The NPPES record for Marcus Macdonald was last updated on February 23, 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.