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FREDAZ FARES NP
NPI 1336690486
Nurse Practitioner in Dearborn, MI

Active since October 24, 2016PECOS EnrolledAccepts Medicare Assignment
2040 MONROE ST STE 207, DEARBORN, MI 48124(313) 278-5836 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2021, Oct 24, 2016 (2 updates tracked since 2016).

About Fredaz Fares Np NPPES

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

FREDAZ FARES NP (NPI 1336690486) is an individual nurse practitioner in Dearborn, Michigan, licensed in Michigan (4704317324) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336690486
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFREDAZ FARESCredential: NP
Location Address2040 MONROE ST STE 207Dearborn, MI 48124-2950
Mailing Address2040 Monroe St Ste 207Dearborn, MI 48124-2950 · (313) 278-5836
Phone(313) 278-5836
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 24, 2016
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1336690486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704317324
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2040 MONROE ST STE 207, Dearborn, MI 48124
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Other Identifiers 1

Medicaid3434247MI

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

Fredaz Fares 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 ID42625071
PECOS Enrollment IDI20210224001775
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

4

Medicare enrollment records show Fredaz Fares reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

F Ali MD PLLC
0.2 mi
Internal Medicine
1711 MONROE ST
Dearborn, MI 48124
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1801920137 (313) 624-0000
Providers Tek Inc.
3.0 mi
Physical Medicine & Rehabilitation
4700 GREENFIELD RD STE 2E
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 22 clinicians in this Medicare group
NPI 1699283283 (734) 462-0340
Abdulhadi Sinan MD PC
4.0 mi
Internal Medicine
13530 MICHIGAN AVE STE 241
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1215102587 (313) 438-0702
Riverview Neuromuscular Pain Center PLLC
13 mi
Physical Medicine & Rehabilitation
7633 E JEFFERSON AVE STE 170
Detroit, MI 48214
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group
NPI 1447827894 (313) 740-1111

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services15 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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 2

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

ZEHRAA TAHER FNP-BC, RN, BSN
Nurse Practitioner
2040 MONROE ST STE 207
DEARBORN, MI 48124
Wayne County (313) 278-5836
MRS. LISA REUTER PA-C
Physician Assistant
2040 MONROE ST STE 207
DEARBORN, MI 48124
Wayne County (517) 410-7297

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 Fredaz Fares's NPI number?

The NPI number for Fredaz Fares is 1336690486. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Fredaz Fares located?

Fredaz Fares practices at 2040 Monroe St Ste 207, Dearborn, MI 48124. The listed phone number is (313) 278-5836.

What is Fredaz Fares's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fredaz Fares enrolled in Medicare?

Yes. Fredaz Fares 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 Fredaz Fares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fredaz Fares reassigns Medicare benefits to 4 organizations: F Ali MD PLLC (Dearborn, MI), Providers Tek Inc. (Dearborn, MI), Abdulhadi Sinan MD PC (Dearborn, MI) and Riverview Neuromuscular Pain Center PLLC (Detroit, MI). 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 Fredaz Fares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fredaz Fares 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 1 other insurer list Fredaz Fares 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 Fredaz Fares affiliated with any hospitals?

According to CMS data, Fredaz Fares is affiliated with Beaumont Hospital - Dearborn.

When was this NPI record last updated?

The NPPES record for Fredaz Fares was last updated on January 8, 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.