AUDREY LOUISE ANDERSON MSN RN FNP-BC
NPI 1376052902
Nurse Practitioner - Family in Southfield, MI

Active since September 27, 2017PECOS EnrolledAccepts Medicare Assignment
60.04/100
CMS Quality Rating
26677 W 12 MILE RD STE 166, SOUTHFIELD, MI 48034(313) 306-2023 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrey Louise Anderson Msn Rn Fnp-bc NPPES

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

AUDREY LOUISE ANDERSON MSN RN FNP-BC (NPI 1376052902) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704225111) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flushing, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1376052902
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUDREY LOUISE ANDERSONCredential: MSN RN FNP-BC
Location Address26677 W 12 MILE RD STE 166Southfield, MI 48034-1514
Mailing Address409 Deer Valley RdHolly, MI 48442-1561 · (248) 894-2825
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 27, 2017
Last NPPES UpdateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
NPI 1376052902 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 · 4704225111
26677 W 12 MILE RD STE 166, Southfield, MI 48034

Secondary Practice Location 1

Location 12487 N Elms RdFlushing, MI 48433-9426 · Phone (810) 487-3500 · Fax (810) 487-3530

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Audrey Louise Anderson Msn Rn Fnp-bc 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 ID42577983
PECOS Enrollment IDI20171130001037
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.

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.

60.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality7.02
Promoting Interoperability97
Improvement Activities20
Cost70.31

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Emergency Medicine
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Nurse Practitioner (Acute Care)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Emergency Medicine
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034
Nurse Practitioner (Family)
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 48034

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 Audrey Anderson's NPI number?

The NPI number for Audrey Anderson is 1376052902. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Audrey Anderson located?

Audrey Anderson practices at 26677 W 12 Mile Rd Ste 166, Southfield, MI 48034. The listed phone number is (313) 306-2023.

What is Audrey Anderson's specialty?

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

Is Audrey Anderson enrolled in Medicare?

Yes. Audrey Anderson 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.

What insurance does Audrey Anderson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Audrey Anderson 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 Audrey Anderson was last updated on October 18, 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.