Individual provider Active NPI

Kailey Arbaugh, AGNP-C

  • Nurse Practitioner
  • Troy, MI
National Provider Identifier
1619520327
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704296936 Issued in MI
Practice address
264 W Maple Rd Ste 200
Troy, MI 48084-5458
Phone
(248) 273-9930
Fax
(248) 273-9931
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704296936 MI Primary

Addresses

Primary practice location

264 W Maple Rd Ste 200
Troy, MI 48084-5458

Mailing address

264 W Maple Rd Ste 200
Troy, MI 48084-5458
Phone (248) 273-9930

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220126000362 MI Practitioner - Nurse Practitioner 9032501945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists PCGroup PAC ID 4880590264, 16 clinicians

Practice addresses (Care Compare)

264 W Maple Rd
Suite 200
Troy, MI 48084-5458
Phone (248) 273-9930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
83.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704296936MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists PC CurrentSince Oct 22, 2021 Accepting new patients
Essential Anesthesia Services, PLC CurrentSince Jul 28, 2019 Accepting new patients

Locations

264 W Maple Rd
Ste 200
Troy, MI 48084
Phone (248) 273-9930

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1619520327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 W MAPLE RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845458",
            "telephone_number": "248-273-9930",
            "fax_number": "248-273-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 W MAPLE RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845458",
            "telephone_number": "248-273-9930",
            "fax_number": "248-273-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBAUGH",
        "first_name": "KAILEY",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704296936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.