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DUANE LEE WILCOX NP
NPI 1356836233
Nurse Practitioner - Family in Clarklake, MI

Active since June 24, 2018PECOS EnrolledAccepts Medicare Assignment
8708 N SHORE DR, CLARKLAKE, MI 49234(517) 529-3151 Get Directions Write a Review

NPPES record last updated: June 24, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Duane Lee Wilcox Np NPPES

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

DUANE LEE WILCOX NP (NPI 1356836233) is an individual family provider in Clarklake, Michigan, licensed in Michigan (4704262470) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356836233
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDUANE LEE WILCOXCredential: NP
Location Address8708 N SHORE DRClarklake, MI 49234-9794
Mailing Address8708 N Shore DrClarklake, MI 49234-9794 · (517) 529-3151
Phone(517) 529-3151
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 24, 2018
✔ NPI 1356836233 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 · 4704262470
8708 N SHORE DR, Clarklake, MI 49234
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

Duane Lee Wilcox 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 ID8325382203
PECOS Enrollment IDI20181204000782
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

3

Medicare enrollment records show Duane Wilcox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan Post-Acute Medical Services 1 PC
40 mi
Hospitalist
1014 E GRAND RIVER AVE
Brighton, MI 48116
  • Reassigned Medicare billing, Michigan enrollment
  • 88 clinicians in this Medicare group
NPI 1669901567 (865) 693-1000
Mi Pacs 2 PC
49 mi
Hospitalist
520 W MAIN ST
Northville, MI 48167
  • Reassigned Medicare billing, Michigan enrollment
  • 65 clinicians in this Medicare group
NPI 1205418357 (248) 349-4290
Cs Pacs 3 Midwest LLC
171 mi
Hospitalist
1001 E ALEX BELL RD
Dayton, OH 45459
  • Reassigned Medicare billing, Michigan enrollment
  • 78 clinicians in this Medicare group
NPI 1972368785 (937) 436-9700

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 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.
864 services128 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.
619 services123 patients
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.
479 services108 patients
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.
135 services65 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
68 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49234 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$16.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$87.28 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$21.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Duane Wilcox's NPI number?

The NPI number for Duane Wilcox is 1356836233. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Where is Duane Wilcox located?

Duane Wilcox practices at 8708 N Shore Dr, Clarklake, MI 49234. The listed phone number is (517) 529-3151.

What is Duane Wilcox's specialty?

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

Is Duane Wilcox enrolled in Medicare?

Yes. Duane Wilcox 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 Duane Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duane Wilcox reassigns Medicare benefits to 3 organizations: Michigan Post-Acute Medical Services 1 PC (Brighton, MI), Mi Pacs 2 PC (Northville, MI) and Cs Pacs 3 Midwest LLC (Dayton, 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 Duane Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Duane Wilcox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Duane Wilcox 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 Duane Wilcox was last updated on June 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.