ANDREISE LAURIAN NAZZARIA ROSA DE SOUZA
NPI 1972233963
Family Medicine in Roseville, MI

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment
30695 LITTLE MACK AVE STE 200, ROSEVILLE, MI 48066(586) 294-9600 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andreise Laurian Nazzaria Rosa De Souza NPPES

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

ANDREISE LAURIAN NAZZARIA ROSA DE SOUZA (NPI 1972233963) is an individual family medicine provider in Roseville, Michigan, licensed in Michigan (4301511970) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains a secondary practice location in Grosse Pointe.

NPPES Registry Identity

NPI1972233963
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREISE LAURIAN NAZZARIA ROSA DE SOUZA
Location Address30695 LITTLE MACK AVE STE 200Roseville, MI 48066-1781
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 14, 2022
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1972233963 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 · 4301511970
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.

30695 LITTLE MACK AVE STE 200, Roseville, MI 48066

Secondary Practice Location 1

Location 1468 Cadieux RdGrosse Pointe, MI 48230-1507 · Phone (586) 498-4422

Accepted 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

Andreise Laurian Nazzaria Rosa De Souza 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 ID1456730803
PECOS Enrollment IDI20250905003997
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.

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

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

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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 6

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

Family Medicine
30695 LITTLE MACK AVE STE 200
ROSEVILLE, MI 48066
Family Medicine
30695 LITTLE MACK AVE STE 200
ROSEVILLE, MI 48066
Family Medicine
30695 LITTLE MACK AVE STE 200
ROSEVILLE, MI 48066
Family Medicine
30695 LITTLE MACK AVE STE 200
ROSEVILLE, MI 48066
Family Medicine
30695 LITTLE MACK AVE STE 200
ROSEVILLE, MI 48066
Nurse Practitioner (Family)
30695 LITTLE MACK AVE STE 200
ROSEVILLE, MI 48066

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 Andreise Laurian Nazzaria Rosa De Souza's NPI number?

The NPI number for Andreise Laurian Nazzaria Rosa De Souza is 1972233963. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Andreise Laurian Nazzaria Rosa De Souza located?

Andreise Laurian Nazzaria Rosa De Souza practices at 30695 Little Mack Ave Ste 200, Roseville, MI 48066. The listed phone number is (586) 294-9600.

What is Andreise Laurian Nazzaria Rosa De Souza's specialty?

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

Is Andreise Laurian Nazzaria Rosa De Souza enrolled in Medicare?

Yes. Andreise Laurian Nazzaria Rosa De Souza 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 Andreise Laurian Nazzaria Rosa De Souza accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Andreise Laurian Nazzaria Rosa De Souza 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 Andreise Laurian Nazzaria Rosa De Souza affiliated with any hospitals?

According to CMS data, Andreise Laurian Nazzaria Rosa De Souza is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Andreise Laurian Nazzaria Rosa De Souza was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.