JENNIFER PLATKUS (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1124013859
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
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Provider Addresses for JENNIFER PLATKUS (NURSE PRACTITIONER)
Providence Drive, Southfield, Oakland County, Michigan, 48075, United States
STE 406
SOUTHFIELD, MI 480754825
Phone: (248) 557-9010
Fax: (248) 557-3655
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 9 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Ascendis Pharma Inc ($41).
Total Amount
$180
General + Research + Ownership
Payments
9
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
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: 2004-04-27
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 |
|---|---|---|---|---|
| I20040427000327 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 29 | 23 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 22 | 15 | $0 |
| 99496 | Transitional care management services for problem of high complexity | 21 | 14 | $0 |
Insurance plans in this area (ZIP 48075)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MI | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 53 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MI | |
| Nephrology, Internal Medicine | MI | |
| Nephrology, Internal Medicine | MI | |
| Nephrology, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nephrology, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nephrology, Internal Medicine | MI |
Reviews
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