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Active NPI 1205975281 Individual Practitioner Female Practitioner

Debra Koch , NNP

Nurse Practitioner - Neonatal • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Debra Koch, NNP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Dearborn, MI. Practice services are available at 18101 OAKWOOD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18101 Oakwood Blvd
Dept Of Neonatology

Dearborn, MI 481244089

Telephone 3135937490
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Dearborn, MI (137 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-21
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License MI 4704143015

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
4704143015 (MI)

Practice Associates & Co-Workers

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

17 Associated Practitioners
Kaylyn Hamilton , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1023687621

NNPBC

Dr. Derek Bair , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1174503049

Doctor of Medicine (M.D.)

Janice Springer , NNP

Nurse Practitioner - Neonatal

NPI 1215076294
Stacey Tilbury , NNP

Nurse Practitioner - Neonatal

NPI 1407995459
Dolores Sandrowicz , NNP

Nurse Practitioner - Neonatal

NPI 1508905589
Dr. Frederick Lueder , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1518947878

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address July 21, 2022

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849

NPI Profile Active December 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2008

Registered at 18101 OAKWOOD BLVD, DEPT OF NEONATOLOGY, DEARBORN, MI 481244089 (Tel: 3135937490)

📍
Updated Business Mailing Address December 08, 2008

Registered at 18101 OAKWOOD BLVD, DEPT OF NEONATOLOGY, DEARBORN, MI 481244089

👤
Provider Name / Credentials Updated December 08, 2008

Recorded as DEBRA KOCH, NNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2008

Nurse Practitioner (License #4704143015 in MI)

🟢
Initial NPI Registration & Enumeration February 06, 2007

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: 1205975281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

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.