DANIELLE DICICCO F.N.P.-C
NPI 1245705490
Nurse Practitioner - Family in Dearborn Heights, MI

Q: What is Danielle Dicicco's NPI number?

The NPI number for Danielle Dicicco is 1245705490. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Q: What is Danielle Dicicco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Danielle Dicicco was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 03, 2018PECOS Enrolled

3902 MONROE ST, DEARBORN HEIGHTS, MI 48125(313) 562-1985(313) 562-0380 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2021, Oct 3, 2018 (2 updates tracked since 2018).

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About Danielle Dicicco F.n.p.-c NPPES

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

DANIELLE DICICCO F.N.P.-C (NPI 1245705490) is an individual family provider in Dearborn Heights, Michigan, licensed in Michigan (4704273013) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1245705490

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDANIELLE DICICCOCredential: F.N.P.-C

Location Address3902 MONROE STDearborn Heights, MI 48125-2545

Mailing Address10240 Continental DrTaylor, MI 48180-3109 · (313) 299-1977

Phone(313) 562-1985

Fax(313) 562-0380

Sole ProprietorYes

Enumeration DateOctober 3, 2018

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1245705490 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 · 4704273013

3902 MONROE ST, Dearborn Heights, MI 48125

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Secondary Practice Location 1

Location 123832 Southfield RdSouthfield, MI 48075-8000 · Phone (248) 569-2600

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Dicicco F.n.p.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Danielle Dicicco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care Center PLLC

Same address

Family Medicine

3902 MONROE ST
Dearborn Heights, MI 48125

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

NPI 1780292623 (313) 562-1985

Henry Ford Health System

10 mi

Nurse Practitioner

2799 W GRAND BLVD
Detroit, MI 48202

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

NPI 1104900455 (313) 916-2600

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

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48125 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.

Other Providers at the Same Location NPPES 19

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

ELIXIRX LLC

Pharmacy (Long Term Care Pharmacy)