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ANDREA NIELSEN OD
NPI 1962628479
Optometrist in Royal Oak, MI

Active since April 17, 2007PECOS Enrolled
80.99/100
CMS Quality Rating
3535 W 13 MILE RD STE 555, ROYAL OAK, MI 48073(248) 551-2020(248) 551-2267 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Nielsen Od NPPES

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

ANDREA NIELSEN OD (NPI 1962628479) is an individual optometrist in Royal Oak, Michigan, licensed in Michigan (4901003103) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Ferris State College - College Of Optometry (1986).

NPPES Registry Identity

NPI1962628479
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANDREA NIELSENCredential: OD
Location Address3535 W 13 MILE RD STE 555Royal Oak, MI 48073-6770
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(248) 551-2020
Fax(248) 551-2267
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1986
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1962628479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003103
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3535 W 13 MILE RD STE 555, Royal Oak, MI 48073
Open in Google Maps ↗

Other Identifiers 1

Other900F37491MI · Bcbsm

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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Nielsen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082801725
PECOS Enrollment IDI20101208000113
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 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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services13 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 11

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

CHIRAG GUPTA M.D.
Ophthalmology
3535 W 13 MILE RD STE 555
ROYAL OAK, MI 48073
Oakland County (248) 551-2020
WILLIAM BEAUMONT HOSPITAL
Durable Medical Equipment & Medical Supplies
3535 W 13 MILE RD STE 555, EYE INSTITUTE OPTICAL SHOP
ROYAL OAK, MI 48073
Oakland County (248) 551-2020
BRAEDEN ESTES MD
Radiology (Diagnostic Radiology)
3535 W 13 MILE RD STE 555
ROYAL OAK, MI 48073
Oakland County (248) 551-3643
YANLIANG LI MD, PHD
Ophthalmology
3535 W 13 MILE RD STE 555
ROYAL OAK, MI 48073
Oakland County (248) 551-3643
DR. STELLA Y CHUNG MS, MD
Ophthalmology
3535 W 13 MILE RD STE 555
ROYAL OAK, MI 48073
Oakland County (248) 551-2020
DR. YASTIRA RAMDAS
Radiology (Radiation Oncology)
3535 W 13 MILE RD STE 555
ROYAL OAK, MI 48073
Oakland County (248) 551-3643
ASHLEY PETERS OD
Optometrist (Low Vision Rehabilitation)
3535 W 13 MILE RD STE 555
ROYAL OAK, MI 48073
Oakland County (248) 551-2020
VIREN KUMAR GOVINDARAJU
Ophthalmology
3535 W 13 MILE RD STE 555
ROYAL OAK, MI 48073
Oakland County (248) 551-2020

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 Andrea Nielsen's NPI number?

The NPI number for Andrea Nielsen is 1962628479. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Andrea Nielsen located?

Andrea Nielsen practices at 3535 W 13 Mile Rd Ste 555, Royal Oak, MI 48073. The listed phone number is (248) 551-2020.

What is Andrea Nielsen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Andrea Nielsen enrolled in Medicare?

Yes. Andrea Nielsen is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Nielsen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Andrea Nielsen 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 Andrea Nielsen affiliated with any hospitals?

According to CMS data, Andrea Nielsen is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Andrea Nielsen was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.