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NICHOLAS DAVID SAPIENZA PA-C
NPI 1205592292
Physician Assistant in Plymouth, MI

Active since November 13, 2021PECOS EnrolledAccepts Medicare Assignment
9003 QUAIL CIR, PLYMOUTH, MI 48170(313) 618-7441 Get Directions Write a Review

NPPES record last updated: November 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas David Sapienza Pa-c NPPES

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

NICHOLAS DAVID SAPIENZA PA-C (NPI 1205592292) is an individual physician assistant in Plymouth, Michigan, licensed in Michigan (5601010673) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205592292
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS DAVID SAPIENZACredential: PA-C
Location Address9003 QUAIL CIRPlymouth, MI 48170-3261
Mailing Address9003 Quail CirPlymouth, MI 48170-3261
Phone(313) 618-7441
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 13, 2021
NPPES CertifiedNovember 13, 2021
✔ NPI 1205592292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010673
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9003 QUAIL CIR, Plymouth, MI 48170
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, McLaren Health Plan Community, Priority Health and more.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

Nicholas David Sapienza Pa-c 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 ID244620268
PECOS Enrollment IDI20211207000934
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.

Hospital Affiliations CMS Care Compare 2

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 Nicholas Sapienza's NPI number?

The NPI number for Nicholas Sapienza is 1205592292. It was assigned to this individual provider in the NPPES registry on November 13, 2021.

Where is Nicholas Sapienza located?

Nicholas Sapienza practices at 9003 Quail Cir, Plymouth, MI 48170. The listed phone number is (313) 618-7441.

What is Nicholas Sapienza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Sapienza enrolled in Medicare?

Yes. Nicholas Sapienza 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 Nicholas Sapienza accept?

Health plans from Blue Care Network of Michigan, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Nicholas Sapienza 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 Nicholas Sapienza affiliated with any hospitals?

According to CMS data, Nicholas Sapienza is affiliated with Sinai-Grace Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Sapienza was last updated on November 13, 2021. 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.