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Active NPI 1285612861 Individual Practitioner Female Practitioner

Andrea Clegg , NP

Nurse Practitioner • Dearborn, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrea Clegg, NP is a certified Nurse Practitioner practicing in Dearborn, MI. With approximately 23 years of clinical experience since completing medical education in 2003, Andrea Clegg delivers high-quality medical care to the local community at 22060 BEECH ST STE 200.

Andrea Clegg is affiliated with Beaumont Medical Group- Specialty Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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

22060 Beech St Ste 200

Dearborn, MI 481242853

Telephone 3132280505
Fax 3132280506
Associated Practice Facility / Clinic
🏢 Botsford General Hospital Facility NPI 1114935566

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dearborn, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +14.4 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
68 Specialists

Practicing in Dearborn, MI (3626 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clegg (23 Years) 23 Yrs
Dearborn Specialty Average (8.6 Years) 8.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
17 15 $223.18 $56.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
11 11 $327.82 $85.50

Medical Specialties & State Licenses

CMS Verified: 2021-01-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704218011

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10-4773406 (MI)
Medicaid State Provider ID
11-4941056 (MI)
Medicaid State Provider ID
10-4773380 (MI)
Medicaid State Provider ID
10-4773362 (MI)
Medicaid State Provider ID
10-4773371 (MI)
Medicaid State Provider ID
11-4941047 (MI)
Medicaid State Provider ID
10-4773390 (MI)
Medicaid State Provider ID
11-4941038 (MI)
Medicaid State Provider ID
11-4941065 (MI)
Commercial Insurance / Payer ID Bcbs
5008604240 (MI)

Hospital & Practice Group Affiliations

Beaumont Medical Group- Specialty Services

22060 Beech St, Dearborn, MI 481242853

Phone: 3132280505

Beaumont Medical Group- Specialty Services

28100 Grand River Ave, Farmington Hills, MI 483365970

Practice Associates & Co-Workers

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

8 Associated Practitioners
Nadine Bazzi , NP

Nurse Practitioner - Family

NPI 1144919382

Nurse Practitioner

Dr. Raid Saco , MD

Internal Medicine

NPI 1154701985

Doctor of Medicine (M.D.)

Dr. Sohail Hassan , MD

Internal Medicine - Cardiovascular Disease

NPI 1225039563

Doctor of Medicine (M.D.)

Dr. Steven Werns , MD

Internal Medicine - Cardiovascular Disease

NPI 1528164415

Doctor of Medicine (M.D.)

Dr. Samir Dabbous , MD

Internal Medicine - Cardiovascular Disease

NPI 1538195664

Doctor of Medicine (M.D.)

Dr. Kuldeep Shah , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1649685413

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 05, 2021

Registered at 22060 BEECH ST STE 200, DEARBORN, MI 481242853 (Tel: 3132280505)

📍
Updated Business Mailing Address January 05, 2021

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

NPI Profile Active August 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2011

Registered at 18101 OAKWOOD BLVD STE 101, DEARBORN, MI 481244089 (Tel: 3139967280)

📍
Updated Business Mailing Address August 25, 2011

Registered at 18101 OAKWOOD BLVD STE 101, DEARBORN, MI 481244089 (Tel: 3139967280)

👤
Provider Name / Credentials Updated August 25, 2011

Recorded as ANDREA CLEGG, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2011

Nurse Practitioner (License #4704218011 in MI)

🟢
Initial NPI Registration & Enumeration January 04, 2006

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: 1285612861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: January 05, 2021
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.