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ANDREA PILLOW NP
NPI 1215329073
Nurse Practitioner - Family in Livonia, MI

Active since March 03, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
38807 ANN ARBOR RD STE 7, LIVONIA, MI 48150(734) 953-6734 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Pillow Np NPPES

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

ANDREA PILLOW NP (NPI 1215329073) is an individual family provider in Livonia, Michigan, licensed in Michigan (4704220300) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Romulus, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215329073
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA PILLOWCredential: NP
Location Address38807 ANN ARBOR RD STE 7Livonia, MI 48150
Mailing Address38807 Ann Arbor Rd Ste 7Livonia, MI 48150-3896 · (734) 953-6734
Phone(734) 953-6734
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 3, 2015
Last NPPES UpdateAugust 6, 2018
✔ NPI 1215329073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704220300
38807 ANN ARBOR RD STE 7, Livonia, MI 48150
Open in Google Maps ↗

Secondary Practice Location 1

Location 129144 Burning Tree LnRomulus, MI 48174-3073 · Phone (248) 227-5969

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Pillow 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 ID5991976193
PECOS Enrollment IDI20160122001966
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 5

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
381 services206 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
92 services91 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
65 services50 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
44 services41 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48150 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Dementia: Cognitive Assessment
Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period
13%93 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
7%614 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
87%105 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%438 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
11%205 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
3%162 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 4% · 84 patients
4%84 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%438 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%438 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 50 patients
0%50 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

DR. LESLEE A EMERSON D.O.
Psychiatry & Neurology (Psychiatry)
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 953-6734
MS. YU HUA CHU NP-C
Nurse Practitioner (Primary Care)
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 953-6734
SENIOR PSYCHIATRIC SERVICES OF MI, PLLC
Psychiatry & Neurology (Psychiatry)
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 953-6734
ERICA KOELZER
Social Worker (Clinical)
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 953-6734
KELLY LYNN BARKLEY NP
Nurse Practitioner (Psychiatric/Mental Health)
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 953-6734
MILLENNIUM MEDICAL GROUP WEST P.C.
Physical Therapist
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 462-2700
DR. SHARON KAY FOSTER PH.D.
Psychologist
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 953-6734
MILLENNIUM MEDICAL GROUP
Specialist
38807 ANN ARBOR RD STE 7
LIVONIA, MI 48150
Wayne County (734) 462-2700

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 Andrea Pillow's NPI number?

The NPI number for Andrea Pillow is 1215329073. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Andrea Pillow located?

Andrea Pillow practices at 38807 Ann Arbor Rd Ste 7, Livonia, MI 48150. The listed phone number is (734) 953-6734.

What is Andrea Pillow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Pillow enrolled in Medicare?

Yes. Andrea Pillow 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 Andrea Pillow accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Andrea Pillow 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 Andrea Pillow was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.