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HOLLY MARIE RADCLIFFE PA-C
NPI 1649629924
Physician Assistant in Detroit, MI

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
4160 JOHN R ST, DETROIT, MI 48201(313) 745-7247 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Oct 18, 2023 (2 updates tracked since 2023).

About Holly Marie Radcliffe Pa-c NPPES

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

HOLLY MARIE RADCLIFFE PA-C (NPI 1649629924) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601007781) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Detroit Receiving Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649629924
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY MARIE RADCLIFFECredential: PA-C
Location Address4160 JOHN R STDetroit, MI 48201-2020
Mailing Address4160 John R StDetroit, MI 48201-2020 · (313) 745-2535 · Fax (313) 745-2777
Phone(313) 745-7247
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 8, 2016
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1649629924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601007781
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4160 JOHN R ST, Detroit, MI 48201
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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 and accepts Medicare assignment

Holly Marie Radcliffe Pa-c 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 ID1456741537
PECOS Enrollment IDI20211203000900
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.

Hospital Affiliations CMS Care Compare

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

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

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.

ASHRAF ELSDEEK MOHAMED M.D.
Psychiatry & Neurology (Neurology)
4160 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 833-8467
CHARLES EDWARD LUCAS MD
Surgery
4160 JOHN R ST, SUITE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. JOYA A GANGULY MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4160 JOHN R ST, SUITE 510
DETROIT, MI 48201
Wayne County (313) 993-7777
YOUNG HO SOHN MD PLLC
Specialist
4160 JOHN R ST, SUITE 515
DETROIT, MI 48201
Wayne County (313) 832-1440
KARIN CALVITI
Audiologist
4160 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 966-9471
MICHELLE BASTIEN CNP RN BSN MSN OCN
Nurse Practitioner
4160 JOHN R ST, SUITE 917
DETROIT, MI 48201
Wayne County (313) 745-4525
ANNA MARIE LEDGERWOOD MD
Surgery
4160 JOHN R ST, STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. PRAVIT CADNAPAPHORNCHAI MD
Internal Medicine (Nephrology)
4160 JOHN R ST, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201
Wayne County (313) 745-4525

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 Holly Radcliffe's NPI number?

The NPI number for Holly Radcliffe is 1649629924. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Holly Radcliffe located?

Holly Radcliffe practices at 4160 John R St, Detroit, MI 48201. The listed phone number is (313) 745-7247.

What is Holly Radcliffe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holly Radcliffe enrolled in Medicare?

Yes. Holly Radcliffe 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.

What insurance does Holly Radcliffe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Holly Radcliffe 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 Holly Radcliffe affiliated with any hospitals?

According to CMS data, Holly Radcliffe is affiliated with Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Holly Radcliffe was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.