LAZARUS OKAMMOR (NP) – Nurse Practitioner, NPI 1366971558

LAZARUS OKAMMOR (NP) is a healthcare provider. based in Ypsilanti, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704269233 (MI). The NPI Number for LAZARUS OKAMMOR (NP) is 1366971558

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
LAZARUS OKAMMOR (NP)
NPI
1366971558
Phone
(734) 572-5777
Address
2940 Ellsworth Rd
Enumeration Date
9 June 2017
Last Update Date
4 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7349364000
Graduation Year
2016 (10 years ago)
PAC ID
5890188460
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20220202001879
Address ID
MI481095000AN1500XDRXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for LAZARUS OKAMMOR (NP)

  • 2940 Ellsworth Rd

    Ypsilanti, MI 481977406

    Phone: (734) 572-5777

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

  • 6159, Cherrywood Drive, Charter Township of Ypsilanti, Washtenaw County, Michigan, 48197, United States

    YPSILANTI, MI 481976216

    Phone:

    Type: Mailing

  • 2940, Ellsworth Road, Charter Township of Ypsilanti, Washtenaw County, Michigan, 48197, United States

    YPSILANTI, MI 481977406

    Phone: (734) 572-5777

    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: 2022-02-02

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
I20220202001879INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes142118$0
99443Telephone medical discussion with physician, 21-30 minutes3226$0
99213Established patient office or other outpatient visit, 20-29 minutes2221$0
99215Established patient office or other outpatient visit, 40-54 minutes2121$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 48197)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Is there an official ID for LAZARUS OKAMMOR (NP) in U.S. healthcare records?
The official identifier for LAZARUS OKAMMOR (NP) is NPI 1366971558.
Would LAZARUS OKAMMOR (NP) appear as active to a payer?
You can treat LAZARUS OKAMMOR (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LAZARUS OKAMMOR (NP)?
At a glance, LAZARUS OKAMMOR (NP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is LAZARUS OKAMMOR (NP) registered?
Use Ypsilanti, Michigan as the headline location for LAZARUS OKAMMOR (NP) here.
Does LAZARUS OKAMMOR (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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