ANJELICA SPORER
NPI 1881460814
Nurse Practitioner - Family in Walled Lake, MI

Active since November 30, 2023PECOS EnrolledAccepts Medicare Assignment
100 W WEST MAPLE RD, WALLED LAKE, MI 48390(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2025, Aug 20, 2024 (2 updates tracked since 2024).

About Anjelica Sporer NPPES

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

ANJELICA SPORER (NPI 1881460814) is an individual family provider in Walled Lake, Michigan, licensed in Michigan (4704326530) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881460814
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANJELICA SPORER
Location Address100 W WEST MAPLE RDWalled Lake, MI 48390-3402
Mailing Address33021 Garfield RdFraser, MI 48026-1800
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 30, 2023
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1881460814 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 · 4704326530
100 W WEST MAPLE RD, Walled Lake, MI 48390

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

Anjelica Sporer 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 ID7810425089
PECOS Enrollment IDI20250115003459
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 Anjelica Sporer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
39350 9 MILE RD
Northville, MI 48167
  • Reassigned Medicare billing, Michigan enrollment
  • 79 clinicians in this Medicare group
Family
39350 9 MILE RD
Northville, MI 48167
  • Reassigned Medicare billing, Michigan enrollment
  • 36 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48390 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 12

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

Nurse Practitioner (Family)
100 W WEST MAPLE RD
WALLED LAKE, MI 48390
Nurse Practitioner (Family)
100 W WEST MAPLE RD
WALLED LAKE, MI 48390
Pharmacy
100 W WEST MAPLE RD
WALLED LAKE, MI 48390
Pharmacist
100 W WEST MAPLE RD
WALLED LAKE, MI 48390
Nurse Practitioner (Family)
100 W WEST MAPLE RD
WALLED LAKE, MI 48390
Nurse Practitioner (Family)
100 W WEST MAPLE RD
WALLED LAKE, MI 48390
Pharmacist
100 W WEST MAPLE RD
WALLED LAKE, MI 48390
Nurse Practitioner (Family)
100 W WEST MAPLE RD
WALLED LAKE, MI 48390

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 Anjelica Sporer's NPI number?

The NPI number for Anjelica Sporer is 1881460814. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Anjelica Sporer located?

Anjelica Sporer practices at 100 W West Maple Rd, Walled Lake, MI 48390. The listed phone number is (866) 389-2727.

What is Anjelica Sporer's specialty?

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

Is Anjelica Sporer enrolled in Medicare?

Yes. Anjelica Sporer 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 Anjelica Sporer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjelica Sporer reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Michigan PC (Northville, MI) and Minuteclinic Primary Care-Michigan PLLC (Northville, 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 Anjelica Sporer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anjelica Sporer was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.