KIMBERLY O'SHAUGHNESSY
NPI 1265053177
Nurse Practitioner - Primary Care in Novi, MI

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
39450 W 12 MILE RD, NOVI, MI 48377(248) 344-6688 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2022, Nov 29, 2021 (2 updates tracked since 2021).

About Kimberly O'shaughnessy NPPES

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

KIMBERLY O'SHAUGHNESSY (NPI 1265053177) is an individual primary care provider in Novi, Michigan, licensed in Michigan (4704285718) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1265053177
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKIMBERLY O'SHAUGHNESSY
Location Address39450 W 12 MILE RDNovi, MI 48377-3600
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 1, 2020
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1265053177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704285718
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 4704285718 (MI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704285718 (MI)
39450 W 12 MILE RD, Novi, MI 48377

Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-7043

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

Kimberly O'shaughnessy 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 ID9931599248
PECOS Enrollment IDI20211130002682
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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
111 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services13 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 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 20

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

Pharmacist
39450 W 12 MILE RD
NOVI, MI 48377
Physical Therapist
39450 W 12 MILE RD
NOVI, MI 48377
Pharmacy (Community/Retail Pharmacy)
39450 W 12 MILE RD, STE 1B
NOVI, MI 48377
Social Worker (Clinical)
39450 W 12 MILE RD
NOVI, MI 48377
Podiatrist
39450 W 12 MILE RD
NOVI, MI 48377
Specialist/Technologist (Athletic Trainer)
39450 W 12 MILE RD
NOVI, MI 48377
Psychiatry & Neurology (Psychiatry)
39450 W 12 MILE RD
NOVI, MI 48377
Physician Assistant
39450 W 12 MILE RD
NOVI, MI 48377

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 Kimberly O'shaughnessy's NPI number?

The NPI number for Kimberly O'shaughnessy is 1265053177. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Kimberly O'shaughnessy located?

Kimberly O'shaughnessy practices at 39450 W 12 Mile Rd, Novi, MI 48377. The listed phone number is (248) 344-6688.

What is Kimberly O'shaughnessy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kimberly O'shaughnessy enrolled in Medicare?

Yes. Kimberly O'shaughnessy 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 Kimberly O'shaughnessy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kimberly O'shaughnessy 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 Kimberly O'shaughnessy affiliated with any hospitals?

According to CMS data, Kimberly O'shaughnessy is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly O'shaughnessy was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.