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LAUREN NICOLE HIMMEL PA-C
NPI 1861039844
Physician Assistant in Shelby Twp., MI

Active since December 09, 2019PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
13051 MICHAEL DR., SHELBY TWP., MI 48315(586) 212-6041 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2022, Dec 9, 2019 (2 updates tracked since 2019).

About Lauren Nicole Himmel Pa-c NPPES

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

LAUREN NICOLE HIMMEL PA-C (NPI 1861039844) is an individual physician assistant in Shelby Twp., Michigan, licensed in Michigan (5601009808) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1861039844
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN NICOLE HIMMELCredential: PA-C
Location Address13051 MICHAEL DR.Shelby Twp., MI 48315
Mailing Address13051 Michael Dr.Shelby Twp., MI 48315
Phone(586) 212-6041
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 9, 2019
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1861039844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601009808
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13051 MICHAEL DR., Shelby Twp., MI 48315
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Secondary Practice Location 1

Location 144201 Dequindre RdTroy, MI 48085-1117 · Phone (248) 964-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Lauren Nicole Himmel Pa-c 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 ID8426451154
PECOS Enrollment IDI20210719003082
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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
143 services142 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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 48315 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

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 Lauren Himmel's NPI number?

The NPI number for Lauren Himmel is 1861039844. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Lauren Himmel located?

Lauren Himmel practices at 13051 Michael Dr., Shelby Twp., MI 48315. The listed phone number is (586) 212-6041.

What is Lauren Himmel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Himmel enrolled in Medicare?

Yes. Lauren Himmel 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 Lauren Himmel accept?

Health plans from Priority Health list Lauren Himmel 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 Lauren Himmel affiliated with any hospitals?

According to CMS data, Lauren Himmel is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Lauren Himmel was last updated on July 28, 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.