ANDREA ABOU-GANIM FNP-BC
NPI 1376134296
Nurse Practitioner - Family in Lexington, MI

Active since February 02, 2021PECOS EnrolledAccepts Medicare Assignment
5294 MAIN ST, LEXINGTON, MI 48450(810) 359-5030 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2022, Feb 2, 2021 (2 updates tracked since 2021).

About Andrea Abou-ganim Fnp-bc NPPES

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

ANDREA ABOU-GANIM FNP-BC (NPI 1376134296) is an individual family provider in Lexington, Michigan, licensed in Michigan (4704322195) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of University Of Michigan Medical School (2020).

NPPES Registry Identity

NPI1376134296
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA ABOU-GANIMCredential: FNP-BC
Location Address5294 MAIN STLexington, MI 48450-8777
Mailing Address5294 Main StLexington, MI 48450-8777 · (810) 359-5030
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2020
Enumeration DateFebruary 2, 2021
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1376134296 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 · 4704322195
5294 MAIN ST, Lexington, MI 48450

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

Andrea Abou-ganim 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 ID4284043472
PECOS Enrollment IDI20210428002839
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.

Areas of Expertise CMS Part B claims 3

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.
35 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48450 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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
5294 MAIN ST
LEXINGTON, MI 48450
Family Medicine
5294 MAIN ST
LEXINGTON, MI 48450
Nurse Practitioner (Adult Health)
5294 MAIN ST
LEXINGTON, MI 48450

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 Andrea Abou-ganim's NPI number?

The NPI number for Andrea Abou-ganim is 1376134296. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Andrea Abou-ganim located?

Andrea Abou-ganim practices at 5294 Main St, Lexington, MI 48450. The listed phone number is (810) 359-5030.

What is Andrea Abou-ganim's specialty?

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

Is Andrea Abou-ganim enrolled in Medicare?

Yes. Andrea Abou-ganim 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 Andrea Abou-ganim accept?

Health plans from McLaren Health Plan Community, Priority Health and UnitedHealthcare list Andrea Abou-ganim 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 Andrea Abou-ganim affiliated with any hospitals?

According to CMS data, Andrea Abou-ganim is affiliated with Lake Huron Medical Center and Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Andrea Abou-ganim was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.