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GEROME EVERETT HESS MSN, NP
NPI 1881932804
Nurse Practitioner - Psychiatric/Mental Health in Mount Clemens, MI

Active since January 25, 2013PECOS EnrolledAccepts Medicare Assignment
100 NORTHBOUND GRATIOT AVE, MOUNT CLEMENS, MI 48043(586) 783-2950(586) 690-4333 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, Jan 23, 2020, Jan 31, 2019 and 1 more (4 updates tracked since 2016).

About Gerome Everett Hess Msn, Np NPPES

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

GEROME EVERETT HESS MSN, NP (NPI 1881932804) is an individual psychiatric/mental health provider in Mount Clemens, Michigan, licensed in Michigan (4704199017) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1881932804
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGEROME EVERETT HESSCredential: MSN, NP
Location Address100 NORTHBOUND GRATIOT AVEMount Clemens, MI 48043-2301
Mailing Address100 Northbound Gratiot AveMount Clemens, MI 48043-2304 · (586) 783-2950 · Fax (586) 690-4333
Phone(586) 783-2950
Fax(586) 690-4333
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 25, 2013
Last NPPES UpdateMay 15, 20264 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1881932804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704199017
100 NORTHBOUND GRATIOT AVE, Mount Clemens, MI 48043
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1511 Fort St Rm 505Port Huron, MI 48060-3936 · Phone (810) 966-0099 · Fax (810) 696-7339
Location 25816 Eastman AveMidland, MI 48640-6792 · Phone (989) 244-1888 · Fax (989) 321-6544

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerome Everett Hess Msn, 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 ID8426293713
PECOS Enrollment IDI20130313000478
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

3

Medicare enrollment records show Gerome Hess reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renewal Christian Counseling Inc
0.6 mi
Mental Health (Including Community Mental Health Center)
100 NB GRATIOT AVE
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
NPI 1548211535 (586) 783-2950
County Of Macomb
1.2 mi
Mental Health (Including Community Mental Health Center)
43740 N GROESBECK HWY
Clinton Twp, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 120 clinicians in this Medicare group
NPI 1942532197 (586) 469-7929
Professional Counseling Center,p.C.
35 mi
Addiction (Substance Use Disorder)
520 SUPERIOR ST
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group
NPI 1225049760 (810) 984-4202

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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 3

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

CHARISSA ANNE ISAACS MA LPC
Counselor (Mental Health)
100 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
MARK T LAUZON LPC
Counselor (Mental Health)
100 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
MRS. KATHY ELIZABETH LANCASTER LBSW
Social Worker
100 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950

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 Gerome Hess's NPI number?

The NPI number for Gerome Hess is 1881932804. It was assigned to this individual provider in the NPPES registry on January 25, 2013.

Where is Gerome Hess located?

Gerome Hess practices at 100 Northbound Gratiot Ave, Mount Clemens, MI 48043. The listed phone number is (586) 783-2950.

What is Gerome Hess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gerome Hess enrolled in Medicare?

Yes. Gerome Hess 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 Gerome Hess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerome Hess reassigns Medicare benefits to 3 organizations: Renewal Christian Counseling Inc (Mount Clemens, MI), County Of Macomb (Clinton Twp, MI) and Professional Counseling Center,p.C. (Port Huron, 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 Gerome Hess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerome Hess 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 2 other insurers list Gerome Hess 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.

When was this NPI record last updated?

The NPPES record for Gerome Hess was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.