MRS. CARLY ANNE NIEMCZEWSKI NP
NPI 1902172976
Nurse Practitioner - Adult Health in Plymouth, MI

Q: What is Carly Niemczewski's NPI number?

The NPI number for Carly Niemczewski is 1902172976. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Q: What is Carly Niemczewski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Carly Niemczewski was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 23, 2012PECOS EnrolledAccepts Medicare Assignment

15474 N HAGGERTY RD, PLYMOUTH, MI 48170(248) 615-0889(734) 404-5317 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Carly Anne Niemczewski Np NPPES

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

MRS. CARLY ANNE NIEMCZEWSKI NP (NPI 1902172976) is an individual adult health provider in Plymouth, Michigan, licensed in Michigan (4704250178) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902172976

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. CARLY ANNE NIEMCZEWSKICredential: NP

Location Address15474 N HAGGERTY RDPlymouth, MI 48170-4893

Mailing Address901 Mcclintock Dr, Suite 202Burr Ridge, IL 60527-0871 · (888) 220-6432 · Fax (630) 734-4715

Phone(248) 615-0889

Fax(734) 404-5317

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 23, 2012

Last NPPES UpdateApril 18, 2013

✔ NPI 1902172976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704250178

15474 N HAGGERTY RD, Plymouth, MI 48170

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Other Identifiers 1

Medicare PINMI5695021MI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Carly Anne Niemczewski 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 ID4981860442

PECOS Enrollment IDI20120727000242

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

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services20 patients

Hospital Affiliations CMS Care Compare

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230002

Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 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 11

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

NAMAN JHAVERI MD

Internal Medicine (Infectious Disease)