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Active NPI 1457972267 Individual Practitioner Female Practitioner

Andrea Douglas , AGACNP-DNP

Nurse Practitioner • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Andrea Douglas, AGACNP-DNP is a registered healthcare professional specializing in Nurse Practitioner in Ann Arbor, MI. Practice services are available at 1500 E MEDICAL CENTER DR under active NPI credentials.

Frequently performed procedures and clinical services include remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days, evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 E Medical Center Dr

Ann Arbor, MI 481095000

Telephone 7349364000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
711 Specialists

Practicing in Ann Arbor, MI (3626 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days
469 390 $126.00 $24.96
93295 Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
460 385 $222.49 $30.76
99213 Established patient office or other outpatient visit, typically 15 minutes
39 39 $87.21 $56.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
37 35 $129.00 $82.76
93280 Programming of dual lead pacemaker system
31 30 $138.00 $30.37
93284 Programming of multiple lead implantable defibrillator system
22 21 $233.00 $48.01
93283 Programming of dual lead implantable defibrillator system
16 15 $195.00 $45.96
99442 Telephone medical discussion with physician, 11-20 minutes
13 12 $96.62 $55.98

Medical Specialties & State Licenses

CMS Verified: 2021-03-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704284423

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sameer Saini , MD

Internal Medicine - Gastroenterology

NPI 1003039124

Doctor of Medicine (M.D.)

Dr. Kyle Perry , MD

Pathology - Cytopathology

NPI 1003053901

Doctor of Medicine (M.D.)

Dr. Michael Watson , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1003092040

Doctor of Medicine (M.D.)

Denise Berry , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003128356

Certified Registered Nurse Anesthetist

Dr. Ketti Petersen , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1003128919

Doctor of Medicine (M.D.)

Katherine Mccormack , PA-C

Physician Assistant

NPI 1003167321

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 22, 2021

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

📍
Updated Business Mailing Address March 22, 2021

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2021

Nurse Practitioner (License #4704284423 in MI)

NPI Profile Active May 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2020

Registered at 775 S MAIN ST, CHELSEA, MI 481181383 (Tel: 7343431189)

📍
Updated Business Mailing Address May 04, 2020

Registered at 8376 REESE LN, ANN ARBOR, MI 481039753 (Tel: 7346455858)

👤
Provider Name / Credentials Updated May 04, 2020

Recorded as ANDREA DOUGLAS, AGACNP-DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2020

Nurse Practitioner (License #4704284423 in MI)

🟢
Initial NPI Registration & Enumeration May 04, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457972267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2020
Last Update: March 22, 2021
Sole Proprietor: No

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.