JACOB CRAZE (NP) – Nurse Practitioner, NPI 1558959403
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for JACOB CRAZE (NP)
30700 TELEGRAPH RD STE 15401
BINGHAM FARMS, MI 480254524
Phone: (313) 800-8230
Fax: (866) 516-0753
Type: Location
18302 MIDDLEBELT RD
LIVONIA, MI 481525007
Phone: (248) 478-1500
Fax: (248) 478-2798
Type: Mailing
18302 Middlebelt Rd
Livonia, MI 481525007
Phone: (248) 478-1500
Fax: (248) 478-2798
Type: Location
5250 Auto Club Dr Ste 100
Dearborn, MI 481262619
Phone: (248) 478-1500
Fax: (248) 478-2798
Type: Location
437 N ETON ST APT 404
BIRMINGHAM, MI 480095950
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $750.
Total Amount is formed as General ($750) + Research ($0) + Ownership ($0) = $750.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($205).
Total Amount
$750
General + Research + Ownership
Payments
31
Total payment records
General Amount
$750
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-04-28
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 |
|---|---|---|---|---|
| I20210428001000 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
| 81003 | Automated urinalysis test | 32 | 26 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 26 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 48025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Nephrology, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine, Nephrology | MI | |
| Nurse Practitioner | MI |
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