WOLFGANG V. CRIDER AGACNP
NPI 1538815774
Nurse Practitioner - Acute Care in Detroit, MI

Active since February 25, 2022PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD, DETROIT, MI 48202(800) 653-6568(313) 876-1305 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2022, Feb 25, 2022 (2 updates tracked since 2022).

About Wolfgang V. Crider Agacnp NPPES

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

WOLFGANG V. CRIDER AGACNP (NPI 1538815774) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704327082) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1538815774
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameWOLFGANG V. CRIDERCredential: AGACNP
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Fax(313) 876-1305
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2022
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1538815774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in MI · 4704327082✔ Licensed in MI · 4704327082NSA2205T
2799 W GRAND BLVD, Detroit, MI 48202

Secondary Practice Location 1

Location 1326 Columbus DrAnn Arbor, MI 48103-2793 · Phone (810) 355-6639

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wolfgang V. Crider Agacnp 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 ID941688741
PECOS Enrollment IDI20220607002677
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 Reassignments

2

Medicare enrollment records show Wolfgang Crider reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group
Hospice and Palliative Medicine
633 SOUTH BLVD E STE 1200
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 7 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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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.

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 Wolfgang Crider's NPI number?

The NPI number for Wolfgang Crider is 1538815774. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Wolfgang Crider located?

Wolfgang Crider practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (800) 653-6568.

What is Wolfgang Crider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Wolfgang Crider enrolled in Medicare?

Yes. Wolfgang Crider 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.

Which organizations bill Medicare for Wolfgang Crider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wolfgang Crider reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and David Schwartzenfeld Medical PC (Rochester Hills, MI). Each 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 Wolfgang Crider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wolfgang Crider accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Wolfgang Crider 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 Wolfgang Crider affiliated with any hospitals?

According to CMS data, Wolfgang Crider is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Wolfgang Crider was last updated on November 29, 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.