SHANNON BRZAK NP-BC
NPI 1891575106
Nurse Practitioner - Family in Bloomfield Hills, MI

Active since October 03, 2023PECOS Enrolled
42557 WOODWARD AVE STE 130, BLOOMFIELD HILLS, MI 48304(248) 454-1004(833) 450-6345 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Oct 3, 2023 (2 updates tracked since 2023).

About Shannon Brzak Np-bc NPPES

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

SHANNON BRZAK NP-BC (NPI 1891575106) is an individual family provider in Bloomfield Hills, Michigan, licensed in Michigan (4704323358) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891575106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON BRZAKCredential: NP-BC
Location Address42557 WOODWARD AVE STE 130Bloomfield Hills, MI 48304-5206
Mailing Address42557 Woodward Ave Ste 130Bloomfield Hills, MI 48304-5206 · (248) 454-1004
Fax(833) 450-6345
Sole ProprietorYes
Enumeration DateOctober 3, 2023
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1891575106 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 · 4704323358
42557 WOODWARD AVE STE 130, Bloomfield Hills, MI 48304

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Brzak Np-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48304 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 2

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
42557 WOODWARD AVE STE 130
BLOOMFIELD HILLS, MI 48304
Nurse Practitioner
42557 WOODWARD AVE STE 130
BLOOMFIELD HILLS, MI 48304

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 Shannon Brzak's NPI number?

The NPI number for Shannon Brzak is 1891575106. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Shannon Brzak located?

Shannon Brzak practices at 42557 Woodward Ave Ste 130, Bloomfield Hills, MI 48304. The listed phone number is (248) 454-1004.

What is Shannon Brzak's specialty?

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

Is Shannon Brzak enrolled in Medicare?

Yes. Shannon Brzak is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Brzak 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 Shannon Brzak 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 Shannon Brzak was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.