OLGA TSUKER GAGNON NP
NPI 1497584577
Nurse Practitioner in West Bloomfield, MI

Active since July 29, 2024PECOS Enrolled
4918 BROOMFIELD LN, WEST BLOOMFIELD, MI 48322(248) 318-2862 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Olga Tsuker Gagnon Np NPPES

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

OLGA TSUKER GAGNON NP (NPI 1497584577) is an individual nurse practitioner in West Bloomfield, Michigan, licensed in Michigan (4704401569) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497584577
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameOLGA TSUKER GAGNONCredential: NP
Location Address4918 BROOMFIELD LNWest Bloomfield, MI 48322-4333
Mailing Address4918 Broomfield LnWest Bloomfield, MI 48322-4333 · (248) 318-2862
Sole ProprietorNo
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1497584577 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 · 4704401569
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.
4918 BROOMFIELD LN, West Bloomfield, MI 48322

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olga Tsuker Gagnon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Olga Gagnon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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 48322 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 Olga Gagnon's NPI number?

The NPI number for Olga Gagnon is 1497584577. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Olga Gagnon located?

Olga Gagnon practices at 4918 Broomfield Ln, West Bloomfield, MI 48322. The listed phone number is (248) 318-2862.

What is Olga Gagnon's specialty?

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

Is Olga Gagnon enrolled in Medicare?

Yes. Olga Gagnon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olga Gagnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olga Gagnon reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Olga Gagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olga Gagnon was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.