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ARCHANA MANDHARE NP
NPI 1265195796
Nurse Practitioner - Gerontology in Plymouth, MI

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment
15474 N HAGGERTY RD, PLYMOUTH, MI 48170(877) 448-3627(866) 507-1164 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Archana Mandhare Np NPPES

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

ARCHANA MANDHARE NP (NPI 1265195796) is an individual gerontology provider in Plymouth, Michigan, licensed in Michigan (AG07210186) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265195796
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameARCHANA MANDHARECredential: NP
Location Address15474 N HAGGERTY RDPlymouth, MI 48170-4893
Mailing Address901 Mcclintock Dr Ste 202Burr Ridge, IL 60527-0872 · (877) 448-3627 · Fax (866) 507-1164
Phone(877) 448-3627
Fax(866) 507-1164
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1265195796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · AG07210186
15474 N HAGGERTY RD, Plymouth, MI 48170
Open in Google Maps ↗

Other Names 1

Former Name (1)Archana Bhosal

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 and accepts Medicare assignment

Archana Mandhare 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 ID6406021625
PECOS Enrollment IDI20211026002120
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

5

Medicare enrollment records show Archana Mandhare reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical
5.9 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Complexcare Medical Group Midwest H PLLC
5.9 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
NPI 1457144933 (248) 660-1220
Michigan Academic Hospitalist Group
7.6 mi
Internal Medicine
33742 W 12 MILE RD
Farmington Hills, MI 48331
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
NPI 1609213032 (248) 893-6610
Commerce Sports And Spine PLLC
11 mi
Psychiatry
29877 TELEGRAPH RD STE 400
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group
NPI 1720629157 (616) 485-0584
Metro Infectious Disease Consultants, LLC
234 mi
Infectious Disease
901 MCCLINTOCK DR, SUITE 202
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Michigan enrollment
  • 93 clinicians in this Medicare group
NPI 1235125717 (888) 220-6432

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 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.
265 services171 patients
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.
215 services169 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.
133 services111 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.
114 services95 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 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 11

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

NAMAN JHAVERI MD
Internal Medicine (Infectious Disease)
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (734) 335-6103
ELIZABETH ASHLEY KOZAK PA-C
Physician Assistant (Medical)
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (734) 335-6103
DR. HEND ABDUL-JAUWAD MB, BCH, BAO
Internal Medicine (Infectious Disease)
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (734) 335-6103
KATHLEEN SZKUTNICKI ANP
Registered Nurse
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (888) 220-6432
ARVINDER CHEEMA MD
Internal Medicine (Infectious Disease)
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (888) 220-6432
MARY CONNORS NP
Nurse Practitioner
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (734) 335-6103
DR. FARAH TANVEER MD
Internal Medicine (Infectious Disease)
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (734) 335-6103
METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Internal Medicine (Infectious Disease)
15474 N HAGGERTY RD
PLYMOUTH, MI 48170
Wayne County (888) 220-6432

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 Archana Mandhare's NPI number?

The NPI number for Archana Mandhare is 1265195796. It was assigned to this individual provider in the NPPES registry on October 21, 2021. The provider is also known as Archana Bhosal.

Where is Archana Mandhare located?

Archana Mandhare practices at 15474 N Haggerty Rd, Plymouth, MI 48170. The listed phone number is (877) 448-3627.

What is Archana Mandhare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Archana Mandhare enrolled in Medicare?

Yes. Archana Mandhare 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.

Which organizations bill Medicare for Archana Mandhare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Archana Mandhare reassigns Medicare benefits to 5 organizations: Theoria Medical (Novi, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Michigan Academic Hospitalist Group (Farmington Hills, MI), Commerce Sports And Spine PLLC (Southfield, MI) and Metro Infectious Disease Consultants, LLC (Burr Ridge, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Archana Mandhare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Archana Mandhare 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 Archana Mandhare 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 Archana Mandhare was last updated on October 21, 2021. 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.