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MRS. ANDREA CONSTANCE DOUGLAS FNP
NPI 1780344226
Nurse Practitioner - Family in Wixom, MI

Active since December 24, 2021PECOS EnrolledAccepts Medicare Assignment
100 MEADOWS CIR S, WIXOM, MI 48393(947) 800-6017 Get Directions Write a Review

NPPES record last updated: December 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Andrea Constance Douglas Fnp NPPES

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

MRS. ANDREA CONSTANCE DOUGLAS FNP (NPI 1780344226) is an individual family provider in Wixom, Michigan, licensed in Michigan (2021117524) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780344226
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANDREA CONSTANCE DOUGLASCredential: FNP
Location Address100 MEADOWS CIR SWixom, MI 48393-3950
Mailing Address100 Meadows Cir SWixom, MI 48393-3950 · (947) 800-6017
Phone(947) 800-6017
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 24, 2021
NPPES CertifiedDecember 24, 2021
✔ NPI 1780344226 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 · 2021117524
100 MEADOWS CIR S, Wixom, MI 48393
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Andrea Constance Douglas Fnp 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 ID1850783168
PECOS Enrollment IDI20220119000413
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrea Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Care Team-Primary Care Providers PLLC
12 mi
Internal Medicine
30600 NORTHWESTERN HWY STE 245
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 17 clinicians in this Medicare group
NPI 1710699624 (248) 957-1999
Mercy Hospitalists, PLLC
15 mi
Endocrinology, Diabetes & Metabolism
10 W SQUARE LAKE RD STE 103
Bloomfield Hills, MI 48302
  • Reassigned Medicare billing, Michigan enrollment
  • 50 clinicians in this Medicare group
NPI 1790340958 (248) 283-4000
Apollo Hospitalist Group
19 mi
Hospitalist
5823 MIDDLEBELT RD
Garden City, MI 48135
  • Reassigned Medicare billing, Michigan enrollment
  • 17 clinicians in this Medicare group
NPI 1548978794 (734) 421-6333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
1,156 services113 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
443 services112 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
197 services108 patients
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.
109 services50 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
40 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48393 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.

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 Andrea Douglas's NPI number?

The NPI number for Andrea Douglas is 1780344226. It was assigned to this individual provider in the NPPES registry on December 24, 2021.

Where is Andrea Douglas located?

Andrea Douglas practices at 100 Meadows Cir S, Wixom, MI 48393. The listed phone number is (947) 800-6017.

What is Andrea Douglas's specialty?

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

Is Andrea Douglas enrolled in Medicare?

Yes. Andrea Douglas 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.

Which organizations bill Medicare for Andrea Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Douglas reassigns Medicare benefits to 3 organizations: The Care Team-Primary Care Providers PLLC (Farmington Hills, MI), Mercy Hospitalists, PLLC (Bloomfield Hills, MI) and Apollo Hospitalist Group (Garden City, MI). 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 Andrea Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Douglas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Andrea Douglas 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 Andrea Douglas was last updated on December 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.