TRACI RIZZO MSN, PMHNP-BC
NPI 1972144855
Nurse Practitioner - Psychiatric/Mental Health in Saint Clair Shores, MI

Active since October 02, 2019PECOS EnrolledAccepts Medicare Assignment
24715 LITTLE MACK AVE STE 200, SAINT CLAIR SHORES, MI 48080(586) 777-9000(586) 777-0823 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2026, Jun 9, 2025, May 28, 2025 and 1 more (4 updates tracked since 2019).

About Traci Rizzo Msn, Pmhnp-bc NPPES

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

TRACI RIZZO MSN, PMHNP-BC (NPI 1972144855) is an individual psychiatric/mental health provider in Saint Clair Shores, Michigan, licensed in Michigan (2025029451) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972144855
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTRACI RIZZOCredential: MSN, PMHNP-BC
Location Address24715 LITTLE MACK AVE STE 200Saint Clair Shores, MI 48080-3207
Mailing Address22198 28 Mile RdRay, MI 48096-3227 · (586) 777-9000 · Fax (586) 777-0823
Fax(586) 777-0823
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 2, 2019
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1972144855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 2025029451
24715 LITTLE MACK AVE STE 200, Saint Clair Shores, MI 48080

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

Traci Rizzo Msn, Pmhnp-bc 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 ID7719494343
PECOS Enrollment IDI20250729002106
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 Reassignments

2

Medicare enrollment records show Traci Rizzo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
24715 LITTLE MACK AVE, SUITE 200
Saint Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
  • 451 clinicians in this Medicare group
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan enrollment
  • 131 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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 15

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

Counselor (Professional)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Nurse Practitioner (Psychiatric/Mental Health)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Psychologist (Clinical)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Marriage & Family Therapist
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Counselor (Professional)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080
Counselor (Mental Health)
24715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080

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 Traci Rizzo's NPI number?

The NPI number for Traci Rizzo is 1972144855. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Traci Rizzo located?

Traci Rizzo practices at 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-9000.

What is Traci Rizzo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Traci Rizzo enrolled in Medicare?

Yes. Traci Rizzo 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 Traci Rizzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Traci Rizzo reassigns Medicare benefits to 2 organizations: Downriver Mental Health Clinic PC (Saint Clair Shores, MI) and Pure Psychiatry Of Michigan PLLC (Wayne, MI). 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 Traci Rizzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Traci Rizzo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Paramount, Priority Health and UnitedHealthcare list Traci Rizzo 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 Traci Rizzo was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.