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ILANA SAMANTHA SAN SOUCI DNP, FNP-C, BSN, RN
NPI 1598470189
Nurse Practitioner in Livonia, MI

Active since January 18, 2023PECOS EnrolledAccepts Medicare Assignment
19000 ST JOES PKWY STE 140, LIVONIA, MI 48152(734) 213-3688(734) 213-3687 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, May 14, 2024, Jan 18, 2023 (3 updates tracked since 2023).

About Ilana Samantha San Souci Dnp, Fnp-c, Bsn, Rn NPPES

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

ILANA SAMANTHA SAN SOUCI DNP, FNP-C, BSN, RN (NPI 1598470189) is an individual nurse practitioner in Livonia, Michigan, licensed in Michigan (4704330052) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598470189
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameILANA SAMANTHA SAN SOUCICredential: DNP, FNP-C, BSN, RN
Location Address19000 ST JOES PKWY STE 140Livonia, MI 48152-1477
Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766 · Fax (734) 222-3100
Phone(734) 213-3688
Fax(734) 213-3687
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 18, 2023
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1598470189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MI · 4704330052✔ Licensed in PA · SP032955
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.
19000 ST JOES PKWY STE 140, Livonia, MI 48152
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Secondary Practice Locations 2

Location 124 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484 · Phone (734) 747-6766
Location 21205 Langhorne Newtown Rd Ste 102BLanghorne, PA 19047-1220 · Phone (215) 710-2633 · Fax (215) 710-2634

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

Ilana Samantha San Souci Dnp, Fnp-c, Bsn, Rn 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 ID4688119563
PECOS Enrollment IDI20240716000968
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services79 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48152 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 4

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

MOSTAFA EL ZARIF
Clinic/Center (Urgent Care)
19000 ST JOES PKWY STE 140
LIVONIA, MI 48152
Wayne County (734) 213-3688
ZAINULABIDEEN MAHMOOD DO
General Practice
19000 ST JOES PKWY STE 140
LIVONIA, MI 48152
Wayne County (734) 213-3688
JASMIN MARY
Nurse Practitioner (Primary Care)
19000 ST JOES PKWY STE 140
LIVONIA, MI 48152
Wayne County (734) 213-3688
DR. ANDREW JAMES BOONE DNP FNP-BC
Nurse Practitioner (Family)
19000 ST JOES PKWY STE 140
LIVONIA, MI 48152
Wayne County (734) 213-3688

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 Ilana San Souci's NPI number?

The NPI number for Ilana San Souci is 1598470189. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Ilana San Souci located?

Ilana San Souci practices at 19000 St Joes Pkwy Ste 140, Livonia, MI 48152. The listed phone number is (734) 213-3688.

What is Ilana San Souci's specialty?

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

Is Ilana San Souci enrolled in Medicare?

Yes. Ilana San Souci 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.

Is Ilana San Souci affiliated with any hospitals?

According to CMS data, Ilana San Souci is affiliated with St Joe Mercy Hospital System Livonia and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Ilana San Souci was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.