MS. AUDREY MICHELLE MCDONALD FNP-BC
NPI 1770456345
Nurse Practitioner - Family in Warren, MI

Q: What is Audrey Mcdonald's NPI number?

The NPI number for Audrey Mcdonald is 1770456345. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Q: What is Audrey Mcdonald'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 Audrey Mcdonald was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 29, 2025PECOS Enrolled

12200 E 13 MILE RD # 200, WARREN, MI 48093(586) 573-1810 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Audrey Michelle Mcdonald Fnp-bc NPPES

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

MS. AUDREY MICHELLE MCDONALD FNP-BC (NPI 1770456345) is an individual family provider in Warren, Michigan, licensed in Michigan (4704354250) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770456345

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. AUDREY MICHELLE MCDONALDCredential: FNP-BC

Location Address12200 E 13 MILE RD # 200Warren, MI 48093-3093

Mailing Address28253 Norwood AveWarren, MI 48092-5628 · (616) 570-8584

Phone(586) 573-1810

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1770456345 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 · 4704354250

12200 E 13 MILE RD # 200, Warren, MI 48093

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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. Audrey Michelle Mcdonald Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375037260

PECOS Enrollment IDI20251209001448

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 48093 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.

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Other Providers at the Same Location NPPES 15

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

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