SHEEJA XAVIER NP-C
NPI 1417415498
Nurse Practitioner in Detroit, MI

Active since March 08, 2019PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
4201 SAINT ANTOINE ST STE 5A, DETROIT, MI 48201(313) 745-3320(313) 993-0080 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2020, Mar 8, 2019 (2 updates tracked since 2019).

About Sheeja Xavier Np-c NPPES

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

SHEEJA XAVIER NP-C (NPI 1417415498) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704281225) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1417415498
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHEEJA XAVIERCredential: NP-C
Location Address4201 SAINT ANTOINE ST STE 5ADetroit, MI 48201-2153
Mailing Address4160 John R St Ste 925Detroit, MI 48201-2017 · (313) 745-7247 · Fax (313) 993-0500
Fax(313) 993-0080
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 8, 2019
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
NPI 1417415498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704281225
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4201 SAINT ANTOINE ST STE 5A, Detroit, MI 48201

Secondary Practice Location 1

Location 14160 John R St Ste 925Detroit, MI 48201-2017 · Phone (313) 745-7247 · Fax (313) 993-0500

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

Sheeja Xavier 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 ID9436490794
PECOS Enrollment IDI20190415001120
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

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Internal Medicine
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Internal Medicine (Pulmonary Disease)
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201
Internal Medicine (Cardiovascular Disease)
4201 SAINT ANTOINE ST STE 5A
DETROIT, MI 48201

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 Sheeja Xavier's NPI number?

The NPI number for Sheeja Xavier is 1417415498. It was assigned to this individual provider in the NPPES registry on March 8, 2019.

Where is Sheeja Xavier located?

Sheeja Xavier practices at 4201 Saint Antoine St Ste 5A, Detroit, MI 48201. The listed phone number is (313) 745-3320.

What is Sheeja Xavier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sheeja Xavier enrolled in Medicare?

Yes. Sheeja Xavier 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 Sheeja Xavier 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 3 other insurers list Sheeja Xavier 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 Sheeja Xavier affiliated with any hospitals?

According to CMS data, Sheeja Xavier is affiliated with Sinai-Grace Hospital, Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Sheeja Xavier was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.