BROCK WILLETT (DNP) – Primary Care Nurse Practitioner, NPI 1306523485
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for BROCK WILLETT (DNP)
500 S State St
Ann Arbor, MI 481091382
Phone: (734) 764-1817
Type: Location
500 S STATE ST
ANN ARBOR, MI 481091382
Phone:
Type: Mailing
4701 TOWNE CENTRE RD STE 201
SAGINAW, MI 486042833
Phone: (989) 793-1040
Fax: (989) 792-1792
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,169.
Total Amount is formed as General ($1,169) + Research ($0) + Ownership ($0) = $1,169.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Amgen Inc. ($267).
Total Amount
$1,169
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,169
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $267 |
| Alnylam Pharmaceuticals Inc. | $173 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $127 |
| Novo Nordisk Inc | $122 |
| PFIZER INC. | $112 |
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: 2024-09-10
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 |
|---|---|---|---|---|
| I20240910000653 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sleep Medicine | MN | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | AZ | |
| Otolaryngology, Sleep Medicine | MI | |
| Sleep Medicine, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI |
Reviews
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