CORY WILLANS PULCINI (PA-C) – Physician Assistant, NPI 1336432772

CORY WILLANS PULCINI (PA-C) is a healthcare provider. based in Clawson, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005988 (MI). The NPI Number for CORY WILLANS PULCINI (PA-C) is 1336432772

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
CORY WILLANS PULCINI (PA-C)
NPI
1336432772
Phone
(248) 459-9745
Address
246 BROADACRE AVE
Enumeration Date
18 May 2011
Last Update Date
29 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486614100
Graduation Year
2011 (15 years ago)
PAC ID
3274761598
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20140114000282
Address ID
MI483223013WE6777XRDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,112 PHYSICIAN ASSISTANT in MI

Provider Addresses for CORY WILLANS PULCINI (PA-C)

  • 246 BROADACRE AVE

    CLAWSON, MI 480171502

    Phone: (248) 459-9745

    Type: Mailing

  • 6071 W OUTER DR

    DETROIT, MI 482352624

    Phone: (313) 966-4800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Astellas Pharma US Inc ($40).

Total Amount

$73

General + Research + Ownership

Payments

3

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-01-14

PECOS data refreshed: 2026-06-15

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
I20140114000282IPhysician AssistantMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2014$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 48017)

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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: 0547178311View full group profile

Reviews

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Frequently asked questions

What federal number belongs to CORY WILLANS PULCINI (PA-C)?
The federal identifier for CORY WILLANS PULCINI (PA-C) is NPI 1336432772.
Is CORY WILLANS PULCINI (PA-C) active in the national directory?
CORY WILLANS PULCINI (PA-C)'s public NPI profile is in an active state.
Does CORY WILLANS PULCINI (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for CORY WILLANS PULCINI (PA-C). Clinical services aligned with this taxonomy classification.
Does CORY WILLANS PULCINI (PA-C) practice in Michigan?
You will see Clawson, Michigan on file for CORY WILLANS PULCINI (PA-C) alongside any extra practice locations.
Is CORY WILLANS PULCINI (PA-C) a real provider?
This page reflects official NPPES data for NPI 1336432772. Always confirm identity and privileges with the practice and licensing boards.

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