ABIGAIL COLLEEN FOX
NPI 1932791746
Nurse Practitioner - Family in Novi, MI

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
47601 GRAND RIVER AVE, NOVI, MI 48374(248) 465-4100 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2022, Oct 6, 2021, Feb 4, 2021 (3 updates tracked since 2021).

About Abigail Colleen Fox NPPES

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

ABIGAIL COLLEEN FOX (NPI 1932791746) is an individual family provider in Novi, Michigan, licensed in Michigan (4704326461) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932791746
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABIGAIL COLLEEN FOX
Location Address47601 GRAND RIVER AVENovi, MI 48374-1233
Mailing Address16001 W 9 Mile RdSouthfield, MI 48075-4818 · (248) 849-5806 · Fax (248) 849-5489
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 4, 2021
Last NPPES UpdateMarch 12, 20243 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
NPI 1932791746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704326461
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 4704326461 (MI)
47601 GRAND RIVER AVE, Novi, MI 48374

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

Abigail Colleen Fox 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 ID3577940808
PECOS Enrollment IDI20230518002823
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 5

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 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.
211 services194 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
21 services21 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

Other Providers at the Same Location NPPES 20

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

Hospitalist
47601 GRAND RIVER AVE, C106
NOVI, MI 48374
Physical Therapy Assistant
47601 GRAND RIVER AVE
NOVI, MI 48374
Surgery
47601 GRAND RIVER AVE, STE B129
NOVI, MI 48374
Physical Therapist
47601 GRAND RIVER AVE
NOVI, MI 48374
Nurse Practitioner (Family)
47601 GRAND RIVER AVE
NOVI, MI 48374
Clinic/Center (Primary Care)
47601 GRAND RIVER AVE, SUITE B-230
NOVI, MI 48374
General Acute Care Hospital
47601 GRAND RIVER AVE
NOVI, MI 48374
Dietitian, Registered
47601 GRAND RIVER AVE
NOVI, MI 48374

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 Abigail Fox's NPI number?

The NPI number for Abigail Fox is 1932791746. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Abigail Fox located?

Abigail Fox practices at 47601 Grand River Ave, Novi, MI 48374. The listed phone number is (248) 465-4100.

What is Abigail Fox's specialty?

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

Is Abigail Fox enrolled in Medicare?

Yes. Abigail Fox 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 Abigail Fox accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Abigail Fox 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 Abigail Fox affiliated with any hospitals?

According to CMS data, Abigail Fox is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Abigail Fox was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.