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MRS. MARIA ELIZABETH SARMIENTO NP
NPI 1942881156
Nurse Practitioner - Primary Care in Madison Heights, MI

Active since April 19, 2021PECOS EnrolledAccepts Medicare Assignment
85.15/100
CMS Quality Rating
27355 JOHN R RD, MADISON HEIGHTS, MI 48071(003) 708-5928 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2022, Apr 19, 2021 (2 updates tracked since 2021).

About Mrs. Maria Elizabeth Sarmiento Np NPPES

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

MRS. MARIA ELIZABETH SARMIENTO NP (NPI 1942881156) is an individual primary care provider in Madison Heights, Michigan, licensed in Michigan (4704318303) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942881156
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. MARIA ELIZABETH SARMIENTOCredential: NP
Location Address27355 JOHN R RDMadison Heights, MI 48071-3300
Mailing Address6400 Shafer Ct Ste 700Rosemont, IL 60018-4989 · (346) 376-1702 · Fax (224) 532-2780
Phone(003) 708-5928
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 19, 2021
Last NPPES UpdateApril 8, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1942881156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MI · 4704318303
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 4704318303 (MI)
27355 JOHN R RD, Madison Heights, MI 48071
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Maria Elizabeth Sarmiento 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 ID7416343769
PECOS Enrollment IDI20220413001659
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 10

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 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.
128 services38 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
79 services33 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.
57 services27 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
51 services27 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
42 services14 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.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48071 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.

85.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.59
Improvement Activities40
Cost67.06

Other Providers at the Same Location NPPES 9

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

MS. BERNADETTE JEAN BORLA NP
Nurse Practitioner
27355 JOHN R RD
MADISON HEIGHTS, MI 48071
Oakland County (859) 420-0822
ERIKA PRISCO FNP, MSN, AANC-BC
Nurse Practitioner (Family)
27355 JOHN R RD
MADISON HEIGHTS, MI 48071
Oakland County (800) 379-8592
SEASONS HOSPICE & PALLIATIVE CARE OF MICHIGAN, LLC
Hospice Care, Community Based
27355 JOHN R RD, STE 100
MADISON HEIGHTS, MI 48071
Oakland County (800) 370-8592
KELSEY L KURTENBACH FNP
Nurse Practitioner (Family)
27355 JOHN R RD
MADISON HEIGHTS, MI 48071
Oakland County (734) 968-5608
DENA HORNSBY
Nurse Practitioner (Family)
27355 JOHN R RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 291-2698
HRS HOME HEALTH OF MICHIGAN LLC
Home Health
27355 JOHN R RD
MADISON HEIGHTS, MI 48071
Oakland County (313) 482-9740
DR. LOUIS W SCHWARTZ D.O.
Family Medicine
27355 JOHN R RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 291-2698
SEASONS MEDICAL GROUP OF MICHIGAN, PC
Family Medicine (Hospice and Palliative Medicine)
27355 JOHN R RD
MADISON HEIGHTS, MI 48071
Oakland County (800) 370-8592

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 Maria Sarmiento's NPI number?

The NPI number for Maria Sarmiento is 1942881156. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Maria Sarmiento located?

Maria Sarmiento practices at 27355 John R Rd, Madison Heights, MI 48071. The listed phone number is (003) 708-5928.

What is Maria Sarmiento's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Maria Sarmiento enrolled in Medicare?

Yes. Maria Sarmiento 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 Maria Sarmiento accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Maria Sarmiento 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 Maria Sarmiento was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.