SALLY WARDA KEJBOU AGNP
NPI 1679169163
Nurse Practitioner - Gerontology in Rochester Hills, MI

Active since December 18, 2020PECOS EnrolledAccepts Medicare Assignment
615 PARKLAND DR, ROCHESTER HILLS, MI 48307(248) 298-9549 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sally Warda Kejbou Agnp NPPES

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

SALLY WARDA KEJBOU AGNP (NPI 1679169163) is an individual gerontology provider in Rochester Hills, Michigan, licensed in Michigan (4704327329) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679169163
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSALLY WARDA KEJBOUCredential: AGNP
Location Address615 PARKLAND DRRochester Hills, MI 48307-3453
Mailing Address615 Parkland DrRochester Hills, MI 48307-3453 · (248) 298-9549
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
NPI 1679169163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704327329
615 PARKLAND DR, Rochester Hills, MI 48307

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

Sally Warda Kejbou Agnp 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 ID7012312457
PECOS Enrollment IDI20210823001767
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
234 services103 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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.

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 Sally Kejbou's NPI number?

The NPI number for Sally Kejbou is 1679169163. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Sally Kejbou located?

Sally Kejbou practices at 615 Parkland Dr, Rochester Hills, MI 48307. The listed phone number is (248) 298-9549.

What is Sally Kejbou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sally Kejbou enrolled in Medicare?

Yes. Sally Kejbou 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.

Is Sally Kejbou affiliated with any hospitals?

According to CMS data, Sally Kejbou is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Sally Kejbou was last updated on December 18, 2020. 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.