OMOLOLA BEAIRD
NPI 1558960179
Nurse Practitioner - Adult Health in Novi, MI

Active since October 24, 2020PECOS EnrolledAccepts Medicare Assignment
41800 W 11 MILE RD STE 109, NOVI, MI 48375(248) 660-1220 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2025, Feb 2, 2021, Oct 24, 2020 (3 updates tracked since 2020).

About Omolola Beaird NPPES

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

OMOLOLA BEAIRD (NPI 1558960179) is an individual adult health provider in Novi, Michigan, licensed in Michigan (4704298788) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558960179
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameOMOLOLA BEAIRD
Location Address41800 W 11 MILE RD STE 109Novi, MI 48375-1818
Mailing AddressPo Box 746720Atlanta, GA 30374-6720 · (312) 733-9730
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 24, 2020
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1558960179 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 · 4704298788
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 28207413A (IN)
41800 W 11 MILE RD STE 109, Novi, MI 48375

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

Omolola Beaird 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 ID6901210871
PECOS Enrollment IDI20250121001315
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

5

Medicare enrollment records show Omolola Beaird reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
Geriatric Medicine
105 N HAGGERTY RD
Plymouth, MI 48170
  • Reassigned Medicare billing, Michigan enrollment
  • 70 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Michigan enrollment
  • 72 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 48375 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.

Nurse Practitioner (Primary Care)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner (Family)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Internal Medicine
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner (Family)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner (Family)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Internal Medicine
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Internal Medicine
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner
41800 W 11 MILE RD STE 109
NOVI, MI 48375

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 Omolola Beaird's NPI number?

The NPI number for Omolola Beaird is 1558960179. It was assigned to this individual provider in the NPPES registry on October 24, 2020.

Where is Omolola Beaird located?

Omolola Beaird practices at 41800 W 11 Mile Rd Ste 109, Novi, MI 48375. The listed phone number is (248) 660-1220.

What is Omolola Beaird's specialty?

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

Is Omolola Beaird enrolled in Medicare?

Yes. Omolola Beaird 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 Omolola Beaird's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omolola Beaird reassigns Medicare benefits to 5 organizations: Theoria Medical (Novi, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI), Altea Medical Michigan PLLC (Plymouth, MI) and Post Acute Medical PLLC (Lanham, MD). 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 Omolola Beaird's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omolola Beaird accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Priority Health list Omolola Beaird 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 Omolola Beaird was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.