AZRA MARIE TOTOBESOLA
NPI 1871334623
Nurse Practitioner in Saint Joseph, MI

Q: What is Azra Totobesola's NPI number?

The NPI number for Azra Totobesola is 1871334623. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Q: What is Azra Totobesola'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 Azra Totobesola was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 05, 2024PECOS EnrolledAccepts Medicare Assignment

4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085(269) 985-4467(269) 429-5606 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Jun 5, 2024 (2 updates tracked since 2024).

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About Azra Marie Totobesola NPPES

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

AZRA MARIE TOTOBESOLA (NPI 1871334623) is an individual nurse practitioner in Saint Joseph, Michigan, licensed in Michigan (4704311055) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871334623

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAZRA MARIE TOTOBESOLA

Location Address4025 HEALTH PARK LNSaint Joseph, MI 49085-3421

Mailing Address4025 Health Park LnSaint Joseph, MI 49085-3421 · (269) 985-4467

Phone(269) 985-4467

Fax(269) 429-5606

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 5, 2024

Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1871334623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704311055

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.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704311055 (MI)

4025 HEALTH PARK LN, Saint Joseph, MI 49085

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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, McLaren Health Plan Community 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

Azra Marie Totobesola 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 ID9830616317

PECOS Enrollment IDI20250508000425

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.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230078

Location400 Medical Park DrWatervliet, MI 49098 · Berrien County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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Other Providers at the Same Location NPPES 14

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

MIRIAM MEKILA MORGAN-SKINNER NP

Nurse Practitioner