KEARA J MARKS
NPI 1720757628
Nurse Practitioner - Family in Detroit, MI
About Keara J Marks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEARA J MARKS (NPI 1720757628) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704309972) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keara J Marks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Keara Marks reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 577 clinicians in this Medicare group
Detroit, MI 48212
- Reassigned Medicare billing, Michigan enrollment
- 37 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Michigan enrollment
- 157 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 48206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
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 Keara Marks's NPI number?
The NPI number for Keara Marks is 1720757628. It was assigned to this individual provider in the NPPES registry on September 13, 2021.
Where is Keara Marks located?
Keara Marks practices at 2425 Tuxedo St, Detroit, MI 48206. The listed phone number is (313) 484-5830.
What is Keara Marks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keara Marks enrolled in Medicare?
Yes. Keara Marks is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Keara Marks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keara Marks reassigns Medicare benefits to 3 organizations: Henry Ford Health System (Detroit, MI), Henry Ford Health System-School Based Health Initiative (Detroit, MI) and Molina Care Connections, LLC. (Long Beach, CA). Each 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 Keara Marks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keara Marks accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Keara Marks 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.
When was this NPI record last updated?
The NPPES record for Keara Marks was last updated on September 6, 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.
# Keara J Marks · NPI 1720757628
Family physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 13, 2021.
## Identity
- **NPI:** 1720757628 (Entity type: Individual)
- **Enumerated:** September 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704309972 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2425 TUXEDO ST, Detroit, MI 48206-1222
- **Phone:** (313) 484-5830
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health System (NPI 1104900455, Detroit, MI); Henry Ford Health System-School Based Health Initiative (NPI 1104010578, Detroit, MI); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720757628) · Data from the CMS NPPES public registry.