ANDREW JOSEPH PLAZA DNP, RN, AGACNP-BC
NPI 1225699911
Nurse Practitioner - Acute Care in Dearborn, MI

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
18101 OAKWOOD BLVD, DEARBORN, MI 48124(313) 982-5045 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 28, 2022, May 26, 2020 (2 updates tracked since 2020).

About Andrew Joseph Plaza Dnp, Rn, Agacnp-bc NPPES

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

ANDREW JOSEPH PLAZA DNP, RN, AGACNP-BC (NPI 1225699911) is an individual acute care provider in Dearborn, Michigan, licensed in Michigan (4704314901) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1225699911
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameANDREW JOSEPH PLAZACredential: DNP, RN, AGACNP-BC
Location Address18101 OAKWOOD BLVDDearborn, MI 48124-4089
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1865 · Fax (947) 522-0307
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2019
Enumeration DateJune 24, 2019
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
NPI 1225699911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704314901
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704314901 (MI)
18101 OAKWOOD BLVD, Dearborn, MI 48124

Secondary Practice Location 1

Location 122201 Moross RdDetroit, MI 48236-2169 · Phone (877) 784-3667 · Fax (313) 343-4567

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

Andrew Joseph Plaza Dnp, Rn, Agacnp-bc 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 ID7911328034
PECOS Enrollment IDI20200528000453
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.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

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.

Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Surgery
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Internal Medicine
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD, ANESTHESIA DEPT
DEARBORN, MI 48124
Pharmacist (Pharmacotherapy)
18101 OAKWOOD BLVD, PHARMACY
DEARBORN, MI 48124
Radiology (Radiation Oncology)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Psychiatry & Neurology (Psychiatry)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Obstetrics & Gynecology
18101 OAKWOOD BLVD
DEARBORN, MI 48124

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 Andrew Plaza's NPI number?

The NPI number for Andrew Plaza is 1225699911. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Andrew Plaza located?

Andrew Plaza practices at 18101 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 982-5045.

What is Andrew Plaza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andrew Plaza enrolled in Medicare?

Yes. Andrew Plaza 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 Andrew Plaza 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 2 other insurers list Andrew Plaza 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 Andrew Plaza affiliated with any hospitals?

According to CMS data, Andrew Plaza is affiliated with Ascension St John Hospital and Ascension Genesys Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Plaza was last updated on July 28, 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.