ASHLEY MARIE BADOUR
NPI 1265094544
Nurse Practitioner - Psychiatric/Mental Health in Bay City, MI

Active since July 08, 2019PECOS EnrolledAccepts Medicare Assignment
85.66/100
CMS Quality Rating
3051 KIESEL RD, BAY CITY, MI 48706(989) 778-2888 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, Apr 5, 2024, Mar 14, 2023 and 2 more (5 updates tracked since 2019).

About Ashley Marie Badour NPPES

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

ASHLEY MARIE BADOUR (NPI 1265094544) is an individual psychiatric/mental health provider in Bay City, Michigan, licensed in Michigan (4704329882) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265094544
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameASHLEY MARIE BADOUR
Location Address3051 KIESEL RDBay City, MI 48706-2449
Mailing Address3051 Kiesel RdBay City, MI 48706-2449
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 8, 2019
Last NPPES UpdateMay 26, 20265 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1265094544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704329882
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704329882 (MI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704329882 (MI)
3051 KIESEL RD, Bay City, MI 48706

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

Ashley Marie Badour 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 ID1052787249
PECOS Enrollment IDI20221012003073
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.
35 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services30 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.
32 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48706 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.19
Promoting Interoperability100
Improvement Activities40
Cost63.69

Other Providers at the Same Location NPPES 10

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

Family Medicine
3051 KIESEL RD
BAY CITY, MI 48706
Family Medicine
3051 KIESEL RD
BAY CITY, MI 48706
Physical Therapist (Orthopedic)
3051 KIESEL RD
BAY CITY, MI 48706
Emergency Medicine
3051 KIESEL RD
BAY CITY, MI 48706
Physician Assistant
3051 KIESEL RD
BAY CITY, MI 48706
Physician Assistant
3051 KIESEL RD
BAY CITY, MI 48706
Clinic/Center
3051 KIESEL RD
BAY CITY, MI 48706
Registered Nurse
3051 KIESEL RD
BAY CITY, MI 48706

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 Ashley Badour's NPI number?

The NPI number for Ashley Badour is 1265094544. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Ashley Badour located?

Ashley Badour practices at 3051 Kiesel Rd, Bay City, MI 48706. The listed phone number is (989) 778-2888.

What is Ashley Badour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ashley Badour enrolled in Medicare?

Yes. Ashley Badour 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 Ashley Badour accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company list Ashley Badour 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 Ashley Badour affiliated with any hospitals?

According to CMS data, Ashley Badour is affiliated with Mclaren Bay Region and Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Badour was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.