JEANETTE BLASSIC (PA-C) – Physician Assistant, NPI 1245724780
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for JEANETTE BLASSIC (PA-C)
1 FORD PL STE 3A
DETROIT, MI 482023450
Phone: (313) 874-4806
Type: Mailing
McAuley Drive, Ypsilanti, Washtenaw County, Michigan, 48107, United States
YPSILANTI, MI 481971051
Phone: (734) 712-3456
Type: Location
Greentrees Drive, Riverview, Wayne County, Michigan, 48193, United States
RIVERVIEW, MI 481937831
Phone: (313) 418-5594
Type: Mailing
6777 W Maple Rd
West Bloomfield, MI 483223013
Phone: (800) 653-6568
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-04-10
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 |
|---|---|---|---|---|
| I20190410000205 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 96 | 91 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 68 | 53 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Gastroenterology, Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI |
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