SONIA MAE GARCIA PAULOVICH NP-C
NPI 1700427937
Nurse Practitioner - Family in Troy, MI

Active since September 29, 2019PECOS EnrolledAccepts Medicare Assignment
44201 DEQUINDRE RD, TROY, MI 48085(248) 964-5000(248) 964-8420 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2023, Jul 22, 2022, Jun 5, 2020 and 1 more (4 updates tracked since 2019).

About Sonia Mae Garcia Paulovich Np-c NPPES

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

SONIA MAE GARCIA PAULOVICH NP-C (NPI 1700427937) is an individual family provider in Troy, Michigan, licensed in Michigan (4704295342) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700427937
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONIA MAE GARCIA PAULOVICHCredential: NP-C
Location Address44201 DEQUINDRE RDTroy, MI 48085-1117
Mailing Address34025 Harper AveClinton Twp, MI 48035-3737 · (586) 445-9900
Fax(248) 964-8420
Sole ProprietorNo
Medical School CMSSaginaw Valley Medical College - NlgGraduated 2019
Enumeration DateSeptember 29, 2019
Last NPPES UpdateMay 26, 20234 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1700427937 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 · 4704295342
44201 DEQUINDRE RD, Troy, MI 48085

Secondary Practice Locations 2

Location 13350 Croissant StDearborn, MI 48124-4382 · Phone (248) 238-0064
Location 244199 Dequindre Rd Ste 315Troy, MI 48085-1128 · Phone (844) 259-7340 · Fax (248) 964-1188

Accepted 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

Sonia Mae Garcia Paulovich 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 ID7517384589
PECOS Enrollment IDI20200908000212
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 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.
40 services29 patients
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.
31 services27 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers11 claims20 services$9.42 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers21 claims570 services$2.85 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
2 suppliers11 claims11 services$5.52 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
10 suppliers55 claims99 services$3.37 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
11 suppliers62 claims1,402 services$4.49 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
10 suppliers47 claims467 services$2.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner (Primary Care)
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Emergency Medicine
44201 DEQUINDRE RD, EC
TROY, MI 48085
Speech-Language Pathologist
44201 DEQUINDRE RD
TROY, MI 48085
Nurse Practitioner
44201 DEQUINDRE RD
TROY, MI 48085

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 Sonia Mae Paulovich's NPI number?

The NPI number for Sonia Mae Paulovich is 1700427937. It was assigned to this individual provider in the NPPES registry on September 29, 2019.

Where is Sonia Mae Paulovich located?

Sonia Mae Paulovich practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-5000.

What is Sonia Mae Paulovich's specialty?

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

Is Sonia Mae Paulovich enrolled in Medicare?

Yes. Sonia Mae Paulovich 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 Sonia Mae Paulovich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Sonia Mae Paulovich 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 Sonia Mae Paulovich affiliated with any hospitals?

According to CMS data, Sonia Mae Paulovich is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Sonia Mae Paulovich was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.