MONIKA CLAY AGPCNP-C
NPI 1942896253
Nurse Practitioner - Primary Care in Rochester Hills, MI
About Monika Clay Agpcnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONIKA CLAY AGPCNP-C (NPI 1942896253) is an individual primary care provider in Rochester Hills, Michigan, licensed in Michigan (4704276249) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Monika Clay Agpcnp-c 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.
Medicare Billing Reassignments
5Medicare enrollment records show Monika Clay reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester Hills, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Northville, MI 48167
- Reassigned Medicare billing, Michigan enrollment
- 65 clinicians in this Medicare group
Brighton, MI 48116
- Reassigned Medicare billing, Michigan enrollment
- 88 clinicians in this Medicare group
Dayton, OH 45459
- Reassigned Medicare billing, Michigan enrollment
- 78 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
ROCHESTER HILLS, MI 48307
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 Monika Clay's NPI number?
The NPI number for Monika Clay is 1942896253. It was assigned to this individual provider in the NPPES registry on December 21, 2020.
Where is Monika Clay located?
Monika Clay practices at 633 South Blvd E Ste 1200, Rochester Hills, MI 48307. The listed phone number is (248) 705-6223.
What is Monika Clay's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Monika Clay enrolled in Medicare?
Yes. Monika Clay 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.
Which organizations bill Medicare for Monika Clay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monika Clay reassigns Medicare benefits to 5 organizations: David Schwartzenfeld Medical PC (Rochester Hills, MI), Theoria Medical (Novi, MI), Mi Pacs 2 PC (Northville, MI), Michigan Post-Acute Medical Services 1 PC (Brighton, MI) and Cs Pacs 3 Midwest LLC (Dayton, OH). 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 Monika Clay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monika Clay accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Monika Clay 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 Monika Clay was last updated on June 3, 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.
# Monika Clay, AGPCNP-C · NPI 1942896253
Primary Care physician in Rochester Hills, Michigan. Individual provider, active in the CMS NPPES registry since December 21, 2020.
## Identity
- **NPI:** 1942896253 (Entity type: Individual)
- **Enumerated:** December 21, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704276249 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 633 SOUTH BLVD E STE 1200, Rochester Hills, MI 48307-5364
- **Phone:** (248) 705-6223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): David Schwartzenfeld Medical PC (NPI 1508048901, Rochester Hills, MI); Theoria Medical (NPI 1609362375, Novi, MI); Mi Pacs 2 PC (NPI 1205418357, Northville, MI); Michigan Post-Acute Medical Services 1 PC (NPI 1669901567, Brighton, MI); Cs Pacs 3 Midwest LLC (NPI 1972368785, Dayton, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942896253) · Data from the CMS NPPES public registry.