DR. LADONNA LILLIAN PETERS DNP, AGACNP
NPI 1366168551
Nurse Practitioner - Acute Care in Roseville, MI

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment
31460 KELLY RD, ROSEVILLE, MI 48066(313) 657-1878 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ladonna Lillian Peters Dnp, Agacnp NPPES

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

DR. LADONNA LILLIAN PETERS DNP, AGACNP (NPI 1366168551) is an individual acute care provider in Roseville, Michigan, licensed in Michigan (4704215290) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366168551
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDR. LADONNA LILLIAN PETERSCredential: DNP, AGACNP
Location Address31460 KELLY RDRoseville, MI 48066-4513
Mailing Address31460 Kelly RdRoseville, MI 48066-4513 · (313) 657-1878
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 18, 2022
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1366168551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704215290
31460 KELLY RD, Roseville, MI 48066

Accepted 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

Dr. Ladonna Lillian Peters Dnp, Agacnp 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 ID6901330646
PECOS Enrollment IDI20241118000599
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 Ladonna Peters reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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.

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 Ladonna Peters's NPI number?

The NPI number for Ladonna Peters is 1366168551. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Ladonna Peters located?

Ladonna Peters practices at 31460 Kelly Rd, Roseville, MI 48066. The listed phone number is (313) 657-1878.

What is Ladonna Peters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ladonna Peters enrolled in Medicare?

Yes. Ladonna Peters 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 Ladonna Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ladonna Peters reassigns Medicare benefits to 3 organizations: Complexcare Medical Group Midwest H PLLC (Novi, MI), Theoria Medical (Novi, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Ladonna Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ladonna Peters 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 Ladonna Peters 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 Ladonna Peters was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.