ELLEN AMANDA JANETZKE (M.D.) – Specialist, NPI 1235120742
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 HAND SURGERY in MI
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Provider Addresses for ELLEN AMANDA JANETZKE (M.D.)
390, Park Street, Birmingham, Oakland County, Michigan, 48009, United States
SUITE 201
BIRMINGHAM, MI 480093400
Phone: (248) 258-5100
Type: Location
60, West Big Beaver Road, Bloomfield Hills, Oakland County, Michigan, 48304, United States
STE 100
BLOOMFIELD HILLS, MI 483043913
Phone: (248) 258-5100
Type: Mailing
60 W BIG BEAVER RD STE 100
BLOOMFIELD HILLS, MI 483043913
Phone: (248) 258-5100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $832.
Total Amount is formed as General ($832) + Research ($0) + Ownership ($0) = $832.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Mentor Worldwide LLC ($326).
Total Amount
$832
General + Research + Ownership
Payments
17
Total payment records
General Amount
$832
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $326 |
| Integra LifeSciences Corporation | $155 |
| Merz North America, Inc. | $131 |
| ABBVIE INC. | $111 |
| REVANCE THERAPEUTICS, INC. | $63 |
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: 2004-12-23
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 |
|---|---|---|---|---|
| I20041223000031 | I | Plastic And Reconstructive Surgery | 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 48009)
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