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MRS. COLLEEN MARIE VARGOVICH DNP
NPI 1326716267
Nurse Practitioner - Family in Southfield, MI

Active since September 04, 2021PECOS EnrolledAccepts Medicare Assignment
80.1/100
CMS Quality Rating
26206 W 12 MILE RD STE 105, SOUTHFIELD, MI 48034(248) 200-3715(248) 200-3717 Get Directions Write a Review

NPPES record last updated: September 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Colleen Marie Vargovich Dnp NPPES

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

MRS. COLLEEN MARIE VARGOVICH DNP (NPI 1326716267) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704292161NSA210IC) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326716267
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. COLLEEN MARIE VARGOVICHCredential: DNP
Location Address26206 W 12 MILE RD STE 105Southfield, MI 48034-1799
Mailing Address1242 Catalpa DrBerkley, MI 48072-2048 · (517) 899-1834
Phone(248) 200-3715
Fax(248) 200-3717
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 4, 2021
NPPES CertifiedSeptember 4, 2021
✔ NPI 1326716267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704292161NSA210IC
26206 W 12 MILE RD STE 105, Southfield, MI 48034
Open in Google Maps ↗

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

Mrs. Colleen Marie Vargovich Dnp 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 ID9436547411
PECOS Enrollment IDI20211025000440
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

2

Medicare enrollment records show Colleen Vargovich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan Sports And Spine Center PC
5.8 mi
Physical Medicine & Rehabilitation
18312 MIDDLEBELT RD
Livonia, MI 48152
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group
NPI 1205887262 (248) 680-9000
Total Extended Care Services PC
189 mi
Physical Medicine & Rehabilitation
600 W NATIONAL RD
Englewood, OH 45322
  • Reassigned Medicare billing, Michigan enrollment
  • 30 clinicians in this Medicare group
NPI 1699522029 (937) 540-0409

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 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.
3,722 services228 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.
139 services100 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
111 services110 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
90 services81 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
46 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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.

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.

80.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.82
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KIMBERLY MATTINA
Nurse Practitioner (Acute Care)
26206 W 12 MILE RD STE 105
SOUTHFIELD, MI 48034
Oakland County (248) 200-3715
ALLISON MARIE WILDEY FNP-C
Nurse Practitioner (Family)
26206 W 12 MILE RD STE 105
SOUTHFIELD, MI 48034
Oakland County (248) 200-3717

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 Colleen Vargovich's NPI number?

The NPI number for Colleen Vargovich is 1326716267. It was assigned to this individual provider in the NPPES registry on September 4, 2021.

Where is Colleen Vargovich located?

Colleen Vargovich practices at 26206 W 12 Mile Rd Ste 105, Southfield, MI 48034. The listed phone number is (248) 200-3715.

What is Colleen Vargovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Colleen Vargovich enrolled in Medicare?

Yes. Colleen Vargovich 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 Colleen Vargovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Vargovich reassigns Medicare benefits to 2 organizations: Michigan Sports And Spine Center PC (Livonia, MI) and Total Extended Care Services PC (Englewood, OH). 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 Colleen Vargovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Vargovich 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 Colleen Vargovich 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 Colleen Vargovich was last updated on September 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.