JONATHAN MICHAEL FLEEZANIS – Adult Health Nurse Practitioner, NPI 1013673581

JONATHAN MICHAEL FLEEZANIS is a healthcare provider. based in Northville, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704349990 (MI). The NPI Number for JONATHAN MICHAEL FLEEZANIS is 1013673581

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN MICHAEL FLEEZANIS
NPI
1013673581
Phone
(313) 729-0171
Address
45152 BYRNE CT
Enumeration Date
9 November 2021
Last Update Date
9 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486972942
Graduation Year
2021 (5 years ago)
PAC ID
0749679314
Group Practice PAC ID
0042631194
Professional Enrollment ID
I20211119002266
Address ID
MI483751838NO42350AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JONATHAN MICHAEL FLEEZANIS

  • 45152 BYRNE CT

    NORTHVILLE, MI 481672827

    Phone: (313) 729-0171

    Type: Mailing

  • 39500 W 10 MILE RD STE 100

    NOVI, MI 483752947

    Phone: (248) 476-0035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Medtronic, Inc. ($52).

Total Amount

$72

General + Research + Ownership

Payments

3

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211119002266INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48167)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042631194View full group profile
NameSpecialtyState
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Physician AssistantMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Sports Medicine, Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

How is JONATHAN MICHAEL FLEEZANIS identified in CMS data?
CMS-hosted NPPES data lists JONATHAN MICHAEL FLEEZANIS with NPI 1013673581.
Is JONATHAN MICHAEL FLEEZANIS still practicing?
JONATHAN MICHAEL FLEEZANIS is currently listed as active in the public NPI registry.
What is JONATHAN MICHAEL FLEEZANIS best known for clinically?
Directory data describes JONATHAN MICHAEL FLEEZANIS with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN MICHAEL FLEEZANIS on a map?
Expect Northville, Michigan as a primary anchor for JONATHAN MICHAEL FLEEZANIS unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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