SUSAN WOSIK (PA-C) – Physician Assistant, NPI 1104379601
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for SUSAN WOSIK (PA-C)
26850 PROVIDENCE PKWY STE 350
NOVI, MI 483741261
Phone: (248) 662-4110
Fax: (248) 662-4120
Type: Mailing
11900 E 12 MILE RD STE 100
WARREN, MI 480933487
Phone: (248) 662-4110
Fax: (248) 662-4120
Type: Location
391, West Washington Street, West Walnut Estates, Painesville, Lake County, Ohio, 44077, United States
PAINESVILLE, OH 440773309
Phone:
Type: Mailing
75, Barclay Circle, Hampton Village Centre, Rochester Hills, Oakland County, Michigan, 48307, United States
ROCHESTER HILLS, MI 483075820
Phone: (248) 844-2700
Type: Location
26850 Providence Pkwy Ste 350
Novi, MI 483741261
Phone: (248) 662-4110
Fax: (248) 662-4120
Type: Location
3535 W 13 Mile Rd Ste 248
Royal Oak, MI 480736770
Phone: (248) 551-1515
Type: Location
44199 Dequindre Rd Ste 315
Troy, MI 480851128
Phone: (248) 964-1170
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $3,671.
Total Amount is formed as General ($3,671) + Research ($0) + Ownership ($0) = $3,671.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,215).
Total Amount
$3,671
General + Research + Ownership
Payments
140
Total payment records
General Amount
$3,671
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
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: 2024-05-08
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 |
|---|---|---|---|---|
| I20240508000820 | I | Physician Assistant | 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 48374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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