ADRIENNE JAYNE CWIERTAK (FNP-C) – Physical Medicine & Rehabilitation Physician, NPI 1255174504

ADRIENNE JAYNE CWIERTAK (FNP-C) is a healthcare provider. based in Novi, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 4704281666 (MI). The NPI Number for ADRIENNE JAYNE CWIERTAK (FNP-C) is 1255174504

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE JAYNE CWIERTAK (FNP-C)
NPI
1255174504
Phone
(248) 697-2942
Address
42350 GRAND RIVER AVE
Enumeration Date
14 June 2024
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486972942
Graduation Year
2024 (2 years ago)
PAC ID
3375077522
Group Practice PAC ID
0042631194
Professional Enrollment ID
I20241111000780
Address ID
MI483751838NO42350AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for ADRIENNE JAYNE CWIERTAK (FNP-C)

  • 42350 GRAND RIVER AVE

    NOVI, MI 483751838

    Phone: (248) 697-2942

    Fax: (248) 436-6628

    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 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Medtronic, Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$31
View all Open Payments →|Open Payments Risk Radar →

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: 2024-11-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241111000780INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 48375)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042631194View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physician AssistantMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Sports Medicine, Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

Does ADRIENNE JAYNE CWIERTAK (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ADRIENNE JAYNE CWIERTAK (FNP-C) uses 1255174504.
Does CMS list ADRIENNE JAYNE CWIERTAK (FNP-C) as active?
Yes — ADRIENNE JAYNE CWIERTAK (FNP-C) is active in the NPI listing used on this page.
What taxonomy line describes ADRIENNE JAYNE CWIERTAK (FNP-C)?
For research purposes, treat ADRIENNE JAYNE CWIERTAK (FNP-C) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does ADRIENNE JAYNE CWIERTAK (FNP-C) serve?
ADRIENNE JAYNE CWIERTAK (FNP-C)'s listing highlights Novi, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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