AUDRA COLLINS
NPI 1659766012
Nurse Practitioner - Family in Walled Lake, MI
About Audra Collins NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDRA COLLINS (NPI 1659766012) is an individual family provider in Walled Lake, Michigan, licensed in Michigan (4704281339) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Audra Collins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Audra Collins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Northville, MI 48167
- Reassigned Medicare billing, Michigan enrollment
- 79 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 48390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Audra Collins's NPI number?
The NPI number for Audra Collins is 1659766012. It was assigned to this individual provider in the NPPES registry on April 2, 2015.
Where is Audra Collins located?
Audra Collins practices at 100 W West Maple Rd, Walled Lake, MI 48390. The listed phone number is (248) 624-4555.
What is Audra Collins's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Audra Collins enrolled in Medicare?
Yes. Audra Collins is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Audra Collins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audra Collins reassigns Medicare benefits to Minuteclinic Diagnostic Of Michigan PC (Northville, MI). The 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 Audra Collins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Audra Collins was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Audra Collins · NPI 1659766012
Family physician in Walled Lake, Michigan. Individual provider, active in the CMS NPPES registry since April 2, 2015.
## Identity
- **NPI:** 1659766012 (Entity type: Individual)
- **Enumerated:** April 2, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704281339 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 W WEST MAPLE RD, Walled Lake, MI 48390-3402
- **Phone:** (248) 624-4555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic Diagnostic Of Michigan PC (NPI 1902848617, Northville, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1659766012) · Data from the CMS NPPES public registry.