MRS. PENSRI P GELETKA
NPI 1609632256
Nurse Practitioner - Family in Southgate, MI

Q: What is Pensri Geletka's NPI number?

The NPI number for Pensri Geletka is 1609632256. It was assigned to this individual provider in the NPPES registry on February 22, 2024.

Q: What is Pensri Geletka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pensri Geletka was last updated on November 24, 2024. 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.

Active since February 22, 2024PECOS Enrolled

15150 FORT ST, SOUTHGATE, MI 48195(734) 282-4800(734) 282-9302 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2024, Jun 5, 2024 (2 updates tracked since 2024).

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About Mrs. Pensri P Geletka NPPES

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

MRS. PENSRI P GELETKA (NPI 1609632256) is an individual family provider in Southgate, Michigan, licensed in Michigan (4704299683NSA2403O) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609632256

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. PENSRI P GELETKA

Location Address15150 FORT STSouthgate, MI 48195-1302

Mailing Address15150 Fort StSouthgate, MI 48195-1302 · (734) 282-4800

Phone(734) 282-4800

Fax(734) 282-9302

Sole ProprietorNo

Enumeration DateFebruary 22, 2024

Last NPPES UpdateNovember 24, 20242 updates tracked since enumeration

NPPES CertifiedNovember 24, 2024

✔ NPI 1609632256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704299683NSA2403O

15150 FORT ST, Southgate, MI 48195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Pensri P Geletka 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 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.

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Other Providers at the Same Location NPPES 11

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

DOWNRIVER HEART AND VASCULAR SPECIALISTS PC

Internal Medicine (Interventional Cardiology)