Colleen Marie Vargovich, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704292161NSA210IC Issued in MI

Practice address

26206 W 12 Mile Rd Ste 105
Southfield, MI 48034-1799

Phone

(248) 200-3715

Fax

(248) 200-3717

NPI assigned

Sep 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

70.84 of 100Reported as group

Quality

85.89

Promoting interoperability

0

Improvement activities

40

Cost

66.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Sports and Spine Center PC

  • Physical Medicine & Rehabilitation Physician
  • Livonia, MI
  • NPI 1205887262
  Medicare reassignment NPD
• Total Extended Care Services PC

  • Physical Medicine & Rehabilitation Physician
  • Englewood, OH
  • NPI 1699522029

  MI

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1326716267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 CATALPA DR",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480722048",
            "telephone_number": "517-899-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD STE 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341799",
            "telephone_number": "248-200-3715",
            "fax_number": "248-200-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGOVICH",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292161NSA210IC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Vanwingen
• Sharon Varano, AGPCNP-BC
• Linette Vargas Barraza
• Mervely Vargas
• Bini Rachel Varghese
• Alakh Varma, MD
• Jaron Varner
• Vascular & Rehab Associates LLC
• Gaurav Vashishta, MD
• Leela Mohey Vasileff, MD

• Family Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.