MRS. DANA CHRISTINE FORMAN N.P.
NPI 1942745252
Nurse Practitioner - Adult Health in Troy, MI

Active since December 21, 2016PECOS EnrolledAccepts Medicare Assignment
3310 W BIG BEAVER RD, #137, TROY, MI 48084(248) 792-5200 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Dana Christine Forman N.p. NPPES

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

MRS. DANA CHRISTINE FORMAN N.P. (NPI 1942745252) is an individual adult health provider in Troy, Michigan, licensed in Michigan (4704267480) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942745252
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. DANA CHRISTINE FORMANCredential: N.P.
Location Address3310 W BIG BEAVER RD, #137Troy, MI 48084-2809
Mailing Address31207 Pickwick LnBeverly Hills, MI 48025-5244 · (517) 303-4153
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 21, 2016
NPI 1942745252 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 · 4704267480
3310 W BIG BEAVER RD, Troy, MI 48084

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

Mrs. Dana Christine Forman N.p. 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 ID2466734090
PECOS Enrollment IDI20170117000047
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
111 services19 patients
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month G2087
This treatment for opioid use disorder involves regular office visits for coordinated care, individual and group therapy. It aims to manage withdrawal symptoms, prevent relapse, and promote recovery. It's a 60-minute procedure, repeated monthly.
78 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 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 5

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

Internal Medicine (Cardiovascular Disease)
3310 W BIG BEAVER RD, SUITE 137
TROY, MI 48084
Internal Medicine
3310 W BIG BEAVER RD, SUITE 137
TROY, MI 48084
Physician Assistant (Medical)
3310 W BIG BEAVER RD, SUITE 137
TROY, MI 48084
Podiatrist (Primary Podiatric Medicine)
3310 W BIG BEAVER RD, SUITE 137
TROY, MI 48084
Nurse Practitioner
3310 W BIG BEAVER RD
TROY, MI 48084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942745252, enumerated as an "individual" on December 21, 2016.

The provider is located at 3310 W BIG BEAVER RD #137 TROY, MI 48084 and the phone number is (248) 792-5200.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.