BARBRENE LATRESE MAHLULI MSN, RN, NP, ANP-BC
NPI 1336564285
Registered Nurse - Addiction (Substance Use Disorder) in Beverly Hills, MI
About Barbrene Latrese Mahluli Msn, Rn, Np, Anp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BARBRENE LATRESE MAHLULI MSN, RN, NP, ANP-BC (NPI 1336564285) is an individual addiction (substance use disorder) provider in Beverly Hills, Michigan, licensed in Michigan (4704251083) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Barbrene Latrese Mahluli Msn, Rn, Np, Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Barbrene Mahluli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pontiac, MI 48342
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Barbrene Mahluli's NPI number?
The NPI number for Barbrene Mahluli is 1336564285. It was assigned to this individual provider in the NPPES registry on March 3, 2014.
Where is Barbrene Mahluli located?
Barbrene Mahluli practices at 30395 Stellamar St, Beverly Hills, MI 48025. The listed phone number is (313) 673-8636.
What is Barbrene Mahluli's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.
Is Barbrene Mahluli enrolled in Medicare?
Yes. Barbrene Mahluli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Barbrene Mahluli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Barbrene Mahluli reassigns Medicare benefits to Integrated Care Clinicians, LLC (Pontiac, MI). The 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 Barbrene Mahluli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Barbrene Mahluli accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Barbrene Mahluli 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 Barbrene Mahluli was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Barbrene Latrese Mahluli, MSN, RN, NP, ANP-BC · NPI 1336564285
Addiction (Substance Use Disorder) provider in Beverly Hills, Michigan. Individual provider, active in the CMS NPPES registry since March 3, 2014.
## Identity
- **NPI:** 1336564285 (Entity type: Individual)
- **Enumerated:** March 3, 2014
- **Primary specialty:** Registered Nurse - Addiction (Substance Use Disorder) · taxonomy 163WA0400X
- **State license:** 4704251083 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 30395 STELLAMAR ST, Beverly Hills, MI 48025-4930
- **Phone:** (313) 673-8636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Integrated Care Clinicians, LLC (NPI 1013558386, Pontiac, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336564285) · Data from the CMS NPPES public registry.