MS. NECOLA SELENA TABLE FNP-C
NPI 1659970002
Nurse Practitioner - Family in Detroit, MI

Q: What is Necola Table's NPI number?

The NPI number for Necola Table is 1659970002. It was assigned to this individual provider in the NPPES registry on October 17, 2020.

Q: What is Necola Table'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 Necola Table was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 17, 2020PECOS Enrolled

4909 E OUTER DR, DETROIT, MI 48234(313) 366-2000(313) 447-1582 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2026, Oct 6, 2023, Sep 4, 2023 and 1 more (4 updates tracked since 2020).

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About Ms. Necola Selena Table Fnp-c NPPES

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

MS. NECOLA SELENA TABLE FNP-C (NPI 1659970002) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704250204) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659970002

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. NECOLA SELENA TABLECredential: FNP-C

Location Address4909 E OUTER DRDetroit, MI 48234-3446

Mailing Address4909 E Outer DrDetroit, MI 48234-3446 · (313) 366-2000 · Fax (313) 447-1582

Phone(313) 366-2000

Fax(313) 447-1582

Sole ProprietorYes

Enumeration DateOctober 17, 2020

Last NPPES UpdateMay 8, 20264 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1659970002 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 · 4704250204

4909 E OUTER DR, Detroit, MI 48234

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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)

Ms. Necola Selena Table Fnp-c 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 48234 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 10

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

THE WELLNESS PLAN

Clinic/Center (Urgent Care)