BOZENA WALTENSPIEL (PA-C) – Physician Assistant, NPI 1578718870
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for BOZENA WALTENSPIEL (PA-C)
22255 GREENFIELD RD STE 500
SOUTHFIELD, MI 480753734
Phone: (248) 849-3192
Type: Location
255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012218
Phone: (800) 853-8989
Fax: (313) 561-8837
Type: Mailing
1375 N MAIN ST
LAPEER, MI 484461350
Phone: (810) 667-5574
Fax: (810) 667-5910
Type: Location
3875 ANDOVER AVE
AUBURN HILLS, MI 483263030
Phone: (586) 243-7043
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,719.
Total Amount is formed as General ($1,719) + Research ($0) + Ownership ($0) = $1,719.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Nalu Medical, Inc. ($1,003).
Total Amount
$1,719
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,719
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $1,003 |
| Nevro Corp. | $314 |
| Boston Scientific Corporation | $276 |
| Alnylam Pharmaceuticals Inc. | $42 |
| PAINTEQ LLC | $23 |
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: 2011-02-22
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 |
|---|---|---|---|---|
| I20110222000851 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 325 | 143 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 111 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 48075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| General Surgery | TX | |
| Nurse Practitioner | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Interventional Radiology, Vascular Surgery | CT | |
| Clinical Psychologist | MI | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | MI |
Reviews
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