1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Nurse Practitioner
  6. NPI Profile

DEDRA DELANE FORD NP-C
NPI 1649880329
Nurse Practitioner - Family in Southfield, MI

Active since August 06, 2020PECOS EnrolledAccepts Medicare Assignment
22250 PROVIDENCE DR STE 202, SOUTHFIELD, MI 48075(248) 849-7400(248) 849-7401 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, Aug 6, 2020 (2 updates tracked since 2020).

About Dedra Delane Ford Np-c NPPES

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

DEDRA DELANE FORD NP-C (NPI 1649880329) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704286031) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649880329
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEDRA DELANE FORDCredential: NP-C
Location Address22250 PROVIDENCE DR STE 202Southfield, MI 48075-6210
Mailing Address22250 Providence Dr Ste 202Southfield, MI 48075-6210 · (248) 849-7400 · Fax (248) 849-7401
Phone(248) 849-7400
Fax(248) 849-7401
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 6, 2020
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1649880329 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 · 4704286031
22250 PROVIDENCE DR STE 202, Southfield, MI 48075
Open in Google Maps ↗

Other Names 1

Other Name (5)Dedra Ford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dedra Delane Ford Np-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 ID9133532914
PECOS Enrollment IDI20210115002119
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 2

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 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.
117 services64 patients
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.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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 2

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

SHAILESHKUMAR K DESAI MD
Internal Medicine
22250 PROVIDENCE DR STE 202
SOUTHFIELD, MI 48075
Oakland County (248) 849-7400
DR. BRYANNE NICOLE STANDIFER-BARRETT MD
Internal Medicine
22250 PROVIDENCE DR STE 202
SOUTHFIELD, MI 48075
Oakland County (248) 849-7400

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 Dedra Ford's NPI number?

The NPI number for Dedra Ford is 1649880329. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Dedra Ford located?

Dedra Ford practices at 22250 Providence Dr Ste 202, Southfield, MI 48075. The listed phone number is (248) 849-7400.

What is Dedra Ford's specialty?

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

Is Dedra Ford enrolled in Medicare?

Yes. Dedra Ford 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 Dedra Ford accept?

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

According to CMS data, Dedra Ford is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Health Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Dedra Ford was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.