DR. CAROLYN ADAEZE IBE DNP, APRN, AGACNP-BC
NPI 1811399652
Nurse Practitioner in Detroit, MI

Q: What is Carolyn Ibe's NPI number?

The NPI number for Carolyn Ibe is 1811399652. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Q: What is Carolyn Ibe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Ibe was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment

3990 JOHN R ST, DETROIT, MI 48201(313) 745-8694 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Carolyn Adaeze Ibe Dnp, Aprn, Agacnp-bc NPPES

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

DR. CAROLYN ADAEZE IBE DNP, APRN, AGACNP-BC (NPI 1811399652) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704294466) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811399652

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. CAROLYN ADAEZE IBECredential: DNP, APRN, AGACNP-BC

Location Address3990 JOHN R STDetroit, MI 48201-2097

Mailing Address1321 Orleans St Apt 1910Detroit, MI 48207-3198 · (313) 629-9684

Phone(313) 745-8694

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 24, 2014

Last NPPES UpdateMarch 31, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1811399652 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 · 4704294466

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.

3990 JOHN R ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Carolyn Adaeze Ibe Dnp, Aprn, Agacnp-bc 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 ID2860903879

PECOS Enrollment IDI20250617001584

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.

Hospital Affiliations CMS Care Compare 2

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230104

Location3990 John R StreetDetroit, MI 48201 · Wayne County

Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230273

Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

Other Providers at the Same Location NPPES 20

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

KIMBERLY DAWN HARRIS CRNA

Nurse Anesthetist, Certified Registered