MERCEDES MCGAUGHEY BSN, NP
NPI 1841811825
Nurse Practitioner - Acute Care in West Bloomfield, MI

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(800) 683-6568(313) 876-1305 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2022, Dec 23, 2020 (2 updates tracked since 2020).

About Mercedes Mcgaughey Bsn, Np NPPES

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

MERCEDES MCGAUGHEY BSN, NP (NPI 1841811825) is an individual acute care provider in West Bloomfield, Michigan, licensed in Michigan (4704296769) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1841811825
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMERCEDES MCGAUGHEYCredential: BSN, NP
Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Fax(313) 876-1305
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 1, 2020
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1841811825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704296769
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704296769 (MI)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704296769 (MI)
6777 W MAPLE RD, West Bloomfield, MI 48322

Secondary Practice Location 1

Location 15301 McAuley DrYpsilanti, MI 48197-1051 · Phone (734) 712-3456

Accepted 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

Mercedes Mcgaughey Bsn, Np 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 ID7315350709
PECOS Enrollment IDI20210104000047
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

2

Medicare enrollment records show Mercedes Mcgaughey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
31500 TELEGRAPH RD STE 115
Bingham Farms, MI 48025
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
134 services66 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
25 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322
Clinical Nurse Specialist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Speech-Language Pathologist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Specialist/Technologist, Other (Surgical Assistant)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Occupational Therapist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Physician Assistant (Medical)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Emergency Medicine
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Nurse Anesthetist, Certified Registered
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322

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 Mercedes Mcgaughey's NPI number?

The NPI number for Mercedes Mcgaughey is 1841811825. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Mercedes Mcgaughey located?

Mercedes Mcgaughey practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (800) 683-6568.

What is Mercedes Mcgaughey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mercedes Mcgaughey enrolled in Medicare?

Yes. Mercedes Mcgaughey 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 Mercedes Mcgaughey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Mcgaughey reassigns Medicare benefits to 2 organizations: Neuro Team One PLLC (Bingham Farms, MI) and Henry Ford Health System (Detroit, 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 Mercedes Mcgaughey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mercedes Mcgaughey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mercedes Mcgaughey 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 Mercedes Mcgaughey affiliated with any hospitals?

According to CMS data, Mercedes Mcgaughey is affiliated with Sinai-Grace Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Mercedes Mcgaughey was last updated on October 20, 2022. 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.