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ANGELINA GUADALUPE PALACIOS
NPI 1962107573
Family Medicine in Detroit, MI

Active since April 03, 2023PECOS Enrolled
5635 W FORT ST, DETROIT, MI 48209(313) 849-3920 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Angelina Guadalupe Palacios NPPES

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

ANGELINA GUADALUPE PALACIOS (NPI 1962107573) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (4301517315) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Wayne State University School Of Medicine (2023).

NPPES Registry Identity

NPI1962107573
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANGELINA GUADALUPE PALACIOS
Location Address5635 W FORT STDetroit, MI 48209-3154
Mailing Address2799 W Grand BlvdDetroit, MI 48202-2689 · (313) 916-1601
Phone(313) 849-3920
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1962107573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301517315
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5635 W FORT ST, Detroit, MI 48209
Open in Google Maps ↗

Secondary Practice Location 1

Location 12799 W Grand BlvdDetroit, MI 48202-2689 · Phone (313) 916-1601

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelina Guadalupe Palacios is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547625212
PECOS Enrollment IDI20260721002897
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.

Medicare Billing Reassignment

Medicare enrollment records show Angelina Palacios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System
4.1 mi
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48209 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 20

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

SHERRY E LAWRENCE R.N.
Registered Nurse (Community Health)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
CHRISTEN KEMP FNP-BC
Nurse Practitioner (Family)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (888) 360-9355
DR. SYMONE LESLIE MARTIN FOWLER MD
Family Medicine
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 829-3920
FATIMA MARTIN
Social Worker
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
FATIMA BARBA
Doula
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 644-1500
LORELEI E CLAIBORNE D.D.S
Dentist (Dental Public Health)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
MS. ELLEN HARNISCH LMSW
Social Worker (Clinical)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (313) 849-3920
CARLA PORTILLO-MEDRANO NP
Nurse Practitioner (Family)
5635 W FORT ST
DETROIT, MI 48209
Wayne County (734) 968-2566

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 Angelina Palacios's NPI number?

The NPI number for Angelina Palacios is 1962107573. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Angelina Palacios located?

Angelina Palacios practices at 5635 W Fort St, Detroit, MI 48209. The listed phone number is (313) 849-3920.

What is Angelina Palacios's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angelina Palacios enrolled in Medicare?

Yes. Angelina Palacios is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelina Palacios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelina Palacios reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The 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 Angelina Palacios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelina Palacios accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Angelina Palacios 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 Angelina Palacios was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.