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ANDREA PATRICE SEWELL NP
NPI 1326672767
Nurse Practitioner - Gerontology in Grand Rapids, MI

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7900(616) 267-7901 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2024, Feb 24, 2021, Jun 5, 2020 and 1 more (4 updates tracked since 2020).

About Andrea Patrice Sewell Np NPPES

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

ANDREA PATRICE SEWELL NP (NPI 1326672767) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704312035) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of South Alabama College Of Medicine (2019).

NPPES Registry Identity

NPI1326672767
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameANDREA PATRICE SEWELLCredential: NP
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-7900
Fax(616) 267-7901
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019
Enumeration DateFebruary 25, 2020
Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1326672767 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 · 4704312035
275 MICHIGAN ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Andrea Patrice Sewell 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 ID4385072545
PECOS Enrollment IDI20200322000055
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 2

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

PHILLIP RICHTER PARAS M.D.
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MR. ETHAN J LACOURT PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
CAROLINE BUCKLEY MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
DR. ABEBA M BERHANE MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MAKAYLA DENAE OTTEMAN PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
HIEN LUU PSYD
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7401
HOPE ANN VIVIAN NP
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-2802
LAURA CLAIRE GOODWIN AGPCNP-BC
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900

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 Andrea Sewell's NPI number?

The NPI number for Andrea Sewell is 1326672767. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Andrea Sewell located?

Andrea Sewell practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7900.

What is Andrea Sewell's specialty?

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

Is Andrea Sewell enrolled in Medicare?

Yes. Andrea Sewell 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 Andrea Sewell 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 Andrea Sewell 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 Andrea Sewell affiliated with any hospitals?

According to CMS data, Andrea Sewell is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Andrea Sewell was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.