MARLENE HAMAMA
NPI 1770904971
Nurse Practitioner in Bloomfield Hills, MI

Active since December 16, 2013PECOS EnrolledAccepts Medicare Assignment
76.88/100
CMS Quality Rating
359 ENTERPRISE CT, BLOOMFIELD HILLS, MI 48302(248) 751-7246(248) 418-2311 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2023, Feb 24, 2021 (2 updates tracked since 2021).

About Marlene Hamama NPPES

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

MARLENE HAMAMA (NPI 1770904971) is an individual nurse practitioner in Bloomfield Hills, Michigan, licensed in Michigan (4704262464) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770904971
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARLENE HAMAMA
Location Address359 ENTERPRISE CTBloomfield Hills, MI 48302-1055
Mailing Address359 Enterprise CtBloomfield Hills, MI 48302-1055 · (248) 751-7246 · Fax (248) 418-2311
Fax(248) 418-2311
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 16, 2013
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
NPI 1770904971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704262464
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

359 ENTERPRISE CT, Bloomfield Hills, MI 48302

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

Marlene Hamama 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 ID941432447
PECOS Enrollment IDI20140416000845
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.

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.
35 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

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 48302 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.

76.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.24
Promoting Interoperability94
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Anesthesiology
359 ENTERPRISE CT
BLOOMFIELD HILLS, MI 48302
Anesthesiology
359 ENTERPRISE CT
BLOOMFIELD HILLS, MI 48302
Pain Medicine (Interventional Pain Medicine)
359 ENTERPRISE CT
BLOOMFIELD HILLS, MI 48302
Clinic/Center (Ambulatory Surgical)
359 ENTERPRISE CT
BLOOMFIELD HILLS, MI 48302
Anesthesiology
359 ENTERPRISE CT
BLOOMFIELD HILLS, MI 48302
Anesthesiology (Pain Medicine)
359 ENTERPRISE CT
BLOOMFIELD HILLS, MI 48302
Pharmacy (Community/Retail Pharmacy)
359 ENTERPRISE CT
BLOOMFIELD HILLS, MI 48302

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 Marlene Hamama's NPI number?

The NPI number for Marlene Hamama is 1770904971. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is Marlene Hamama located?

Marlene Hamama practices at 359 Enterprise Ct, Bloomfield Hills, MI 48302. The listed phone number is (248) 751-7246.

What is Marlene Hamama's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marlene Hamama enrolled in Medicare?

Yes. Marlene Hamama 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 Marlene Hamama accept?

Health plans from McLaren Health Plan Community list Marlene Hamama 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 Marlene Hamama affiliated with any hospitals?

According to CMS data, Marlene Hamama is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Marlene Hamama was last updated on May 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.