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SONYA GILBERT FNP
NPI 1912556291
Nurse Practitioner - Family in Oak Park, MI

Active since September 09, 2019PECOS Enrolled
25900 GREENFIELD RD STE 411, OAK PARK, MI 48237(313) 492-6702 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2021, Sep 9, 2019 (2 updates tracked since 2019).

About Sonya Gilbert Fnp NPPES

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

SONYA GILBERT FNP (NPI 1912556291) is an individual family provider in Oak Park, Michigan, licensed in Michigan (2019031566) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912556291
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONYA GILBERTCredential: FNP
Location Address25900 GREENFIELD RD STE 411Oak Park, MI 48237-1287
Mailing Address25900 Greenfield Rd Ste 411Oak Park, MI 48237-1287 · (313) 492-6702
Phone(313) 492-6702
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 9, 2019
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1912556291 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 · 2019031566
25900 GREENFIELD RD STE 411, Oak Park, MI 48237
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonya Gilbert Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769860527
PECOS Enrollment IDI20220609002454
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 Sonya Gilbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical
13 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Senf Np Family Medicine PLLC
252 mi
Surgery
1901 N ROSELLE RD STE 800
Schaumburg, IL 60195
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
NPI 1821702432 (443) 383-9300

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 7

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
683 services124 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
226 services107 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
74 services64 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
55 services55 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
18 services18 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48237 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 4

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

BEST LIFE COUNSELING SERVICE, LLC
Counselor (Professional)
25900 GREENFIELD RD STE 411
OAK PARK, MI 48237
Oakland County (248) 965-2747
VICKIE ANN WRIGHT
Counselor (Professional)
25900 GREENFIELD RD STE 411
OAK PARK, MI 48237
Oakland County (313) 790-5905
PERFECTING HOME CARE
Home Health
25900 GREENFIELD RD STE 411
OAK PARK, MI 48237
Oakland County (248) 291-5190
PERFECTING HOME M-CARE LLC
Home Health
25900 GREENFIELD RD STE 411
OAK PARK, MI 48237
Oakland County (313) 492-6702

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 Sonya Gilbert's NPI number?

The NPI number for Sonya Gilbert is 1912556291. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Sonya Gilbert located?

Sonya Gilbert practices at 25900 Greenfield Rd Ste 411, Oak Park, MI 48237. The listed phone number is (313) 492-6702.

What is Sonya Gilbert's specialty?

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

Is Sonya Gilbert enrolled in Medicare?

Yes. Sonya Gilbert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sonya Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Gilbert reassigns Medicare benefits to 2 organizations: Theoria Medical (Novi, MI) and Senf Np Family Medicine PLLC (Schaumburg, IL). 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 Sonya Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonya Gilbert accept?

Health plans from Priority Health list Sonya Gilbert 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 Sonya Gilbert was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.