APRIL PROVENZINO NP-C
NPI 1386194066
Nurse Practitioner - Adult Health in Eastpointe, MI

Q: What is April Provenzino's NPI number?

The NPI number for April Provenzino is 1386194066. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Q: What is April Provenzino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for April Provenzino was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 06, 2016PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

19070 E 10 MILE RD, EASTPOINTE, MI 48021(586) 445-0177 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About April Provenzino Np-c NPPES

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

APRIL PROVENZINO NP-C (NPI 1386194066) is an individual adult health provider in Eastpointe, Michigan, licensed in Michigan (4704277741) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386194066

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAPRIL PROVENZINOCredential: NP-C

Location Address19070 E 10 MILE RDEastpointe, MI 48021-1449

Mailing Address19070 E 10 Mile RdEastpointe, MI 48021-1449 · (586) 445-0177

Phone(586) 445-0177

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 6, 2016

✔ NPI 1386194066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704277741

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704277741 (MI)

19070 E 10 MILE RD, Eastpointe, MI 48021

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

April Provenzino Np-c 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 ID446495477

PECOS Enrollment IDI20170201000529

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

36 services31 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

36 services17 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

32 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48021 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

99.21

Referred Medical Equipment & Supplies CMS DME claims 2

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

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 suppliers45 claims45 services$65.99 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers30 claims30 services$30.16 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 4

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

GREAT LAKES MEDICAL GROUP PC

Internal Medicine

19070 E 10 MILE RD
EASTPOINTE, MI 48021

Macomb County (313) 418-9952

GREAT LAKES URGENT CARE PC OF EASTSIDE

Clinic/Center (Urgent Care)

19070 E 10 MILE RD
EASTPOINTE, MI 48021

Macomb County (586) 773-1383

KATARZYNA NOELLE BROCK NP

Nurse Practitioner (Primary Care)

19070 E 10 MILE RD
EASTPOINTE, MI 48021

Macomb County (586) 445-0177

GREAT LAKES URGENT CARE PC OF EASTSIDE

Internal Medicine

19070 E 10 MILE RD
EASTPOINTE, MI 48021

Macomb County (586) 773-1383

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 April Provenzino's NPI number?

The NPI number for April Provenzino is 1386194066. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is April Provenzino located?

April Provenzino practices at 19070 E 10 Mile Rd, Eastpointe, MI 48021. The listed phone number is (586) 445-0177.

What is April Provenzino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is April Provenzino enrolled in Medicare?

Yes. April Provenzino 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 April Provenzino accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list April Provenzino 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 April Provenzino was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.