ANDREW M JABLONOWSKI (N.P.) – Primary Care Nurse Practitioner, NPI 1083954770
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for ANDREW M JABLONOWSKI (N.P.)
1000 HARRINGTON ST
MOUNT CLEMENS, MI 480432920
Phone: (586) 493-8844
Fax: (586) 493-8186
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $2,369.
Total Amount is formed as General ($2,369) + Research ($0) + Ownership ($0) = $2,369.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boston Scientific Corporation ($2,127).
Total Amount
$2,369
General + Research + Ownership
Payments
35
Total payment records
General Amount
$2,369
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-03-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130326000204 | I | Nurse Practitioner | MI | TBD |
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.
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 48043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Vascular Surgery, General Surgery | MI |
Reviews
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