MARY FAVATA NURSE PRACTITIONER
NPI 1265684815
Nurse Practitioner - Acute Care in Rochester, MI

Q: What is Mary Favata's NPI number?

The NPI number for Mary Favata is 1265684815. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Q: What is Mary Favata's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Favata was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 15, 2008PECOS EnrolledAccepts Medicare Assignment

1101 W UNIVERSITY DR, ROCHESTER, MI 48307(248) 652-5813 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Favata Nurse Practitioner NPPES

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

MARY FAVATA NURSE PRACTITIONER (NPI 1265684815) is an individual acute care provider in Rochester, Michigan, licensed in Michigan (4704126972) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265684815

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMARY FAVATACredential: NURSE PRACTITIONER

Location Address1101 W UNIVERSITY DRRochester, MI 48307-1863

Mailing Address1101 W University DrRochester, MI 48307-1863 · (248) 652-5813

Phone(248) 652-5813

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 15, 2008

✔ NPI 1265684815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704126972

1101 W UNIVERSITY DR, Rochester, MI 48307

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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

Mary Favata Nurse Practitioner 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 ID8729144480

PECOS Enrollment IDI20090304000303

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

2 suppliers11 claims150 services$2.89 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

3 suppliers11 claims220 services$4.91 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers13 claims148 services$2.37 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers11 claims220 services$8.44 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

3 suppliers29 claims580 services$2.61 avg. paid by Medicare

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

1 supplier12 claims150 services$21.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. EMECHETA SAMUEL AJAERO MD

Student in an Organized Health Care Education/Training Program