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IRINA PAPUSHA AGPC-C
NPI 1770234056
Nurse Practitioner - Gerontology in Farmington Hills, MI

Active since January 18, 2022PECOS EnrolledAccepts Medicare Assignment
82.44/100
CMS Quality Rating
31500 W 13 MILE RD STE 100, FARMINGTON HILLS, MI 48334(248) 509-4070(248) 509-4080 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2023, Jan 18, 2022 (2 updates tracked since 2022).

About Irina Papusha Agpc-c NPPES

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

IRINA PAPUSHA AGPC-C (NPI 1770234056) is an individual gerontology provider in Farmington Hills, Michigan, licensed in Michigan (AG12210043) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770234056
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameIRINA PAPUSHACredential: AGPC-C
Location Address31500 W 13 MILE RD STE 100Farmington Hills, MI 48334-2172
Mailing Address31500 W 13 Mile Rd Ste 100Farmington Hills, MI 48334-2172 · (248) 509-4070 · Fax (248) 509-4080
Phone(248) 509-4070
Fax(248) 509-4080
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 18, 2022
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1770234056 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 · AG12210043
31500 W 13 MILE RD STE 100, Farmington Hills, MI 48334
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Irina Papusha Agpc-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 ID345634945
PECOS Enrollment IDI20220224001869
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 4

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
607 services113 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
131 services56 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
37 services37 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48334 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.

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.

82.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.26
Improvement Activities40
Cost23.79

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$47.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims16 services$69.84 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 4

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

JASJIT KAUR PATARIA NP-C
Nurse Practitioner (Family)
31500 W 13 MILE RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 509-4070
PAYAL SHAH NP
Nurse Practitioner (Family)
31500 W 13 MILE RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 509-4070
VPS OF MI PLLC
Family Medicine
31500 W 13 MILE RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 509-4070
VPS OF USA PLLC
Family Medicine
31500 W 13 MILE RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (844) 509-4070

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 Irina Papusha's NPI number?

The NPI number for Irina Papusha is 1770234056. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Irina Papusha located?

Irina Papusha practices at 31500 W 13 Mile Rd Ste 100, Farmington Hills, MI 48334. The listed phone number is (248) 509-4070.

What is Irina Papusha's specialty?

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

Is Irina Papusha enrolled in Medicare?

Yes. Irina Papusha 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 Irina Papusha accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Irina Papusha 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 Irina Papusha was last updated on February 27, 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.