Shelley Antonucci, NURSE PRACTITIONER
NPI 1497211338ActiveIndividual· Nurse Practitioner· Detroit, MI
Nurse Practitioner (NURSE PRACTITIONER) with Nephro-Care MD PLC, practicing in Detroit, Michigan. 102 Medicare patients in 2024, $21,570 paid; nearly all of their 116 Part D prescriptions were generic (97%). Lists Ascension Providence Hospital, Southfield and Novi and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1497211338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Feb 15, 2019 |
| Last updated in NPPES | Feb 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704261629 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 278 across 3 procedure codes |
| Paid by Medicare | $21,570 |
Part D prescriptions in 2024
| Prescriptions (claims) | 116 · 236 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $6,747 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Nephro-Care MD PLCDetroit, MI · 8 clinicians
Hospital affiliations
- Ascension Providence Hospital, Southfield and NoviSouthfield, MI
- Detroit Receiving HospitalDetroit, MI
- Harper University HospitalDetroit, MI
- Sinai-Grace HospitalDetroit, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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