ERIN CZARNECKI
NPI 1922665280
Nurse Practitioner - Family in Walled Lake, MI

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment
81.26/100
CMS Quality Rating
100 W WEST MAPLE RD, WALLED LAKE, MI 48390(248) 624-4555 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2019, May 29, 2019, May 22, 2019 (3 updates tracked since 2019).

About Erin Czarnecki NPPES

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

ERIN CZARNECKI (NPI 1922665280) is an individual family provider in Walled Lake, Michigan, licensed in Michigan (4704283329) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1922665280
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIN CZARNECKI
Location Address100 W WEST MAPLE RDWalled Lake, MI 48390-3402
Mailing Address100 W West Maple RdWalled Lake, MI 48390-3402
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 22, 2019
Last NPPES UpdateJuly 25, 20193 updates tracked since enumeration
NPI 1922665280 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 · 4704283329
100 W WEST MAPLE RD, Walled Lake, MI 48390

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 and accepts Medicare assignment

Erin Czarnecki 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 ID7416281381
PECOS Enrollment IDI20190626002222
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 3

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.
65 services55 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.
17 services15 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.66
Improvement Activities40
Cost83.98

Other Providers at the Same Location NPPES 13

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 Erin Czarnecki's NPI number?

The NPI number for Erin Czarnecki is 1922665280. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Erin Czarnecki located?

Erin Czarnecki practices at 100 W West Maple Rd, Walled Lake, MI 48390. The listed phone number is (248) 624-4555.

What is Erin Czarnecki's specialty?

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

Is Erin Czarnecki enrolled in Medicare?

Yes. Erin Czarnecki 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.

What insurance does Erin Czarnecki accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Erin Czarnecki 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.

Is Erin Czarnecki affiliated with any hospitals?

According to CMS data, Erin Czarnecki is affiliated with Beaumont Hospital Royal Oak, Mclaren Macomb and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Erin Czarnecki was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.