JOHN SELINSKI (PA-C, AT, ATC) – Physician Assistant, NPI 1679017198
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for JOHN SELINSKI (PA-C, AT, ATC)
30575 Woodward Ave
Royal Oak, MI 480730980
Phone: (248) 280-8550
Fax: (248) 280-8571
Type: Location
19000 ST JOES PKWY STE 400
LIVONIA, MI 481521477
Phone: (866) 678-4644
Type: Location
6664, Gilman Street, Garden City, Wayne County, Michigan, 48135, United States
GARDEN CITY, MI 481352279
Phone: (734) 748-5626
Type: Mailing
43251 Commons Dr
Clinton Township, MI 480381110
Phone: (586) 759-4700
Type: Location
30795 23 Mile Rd Ste 209
Chesterfield, MI 480475721
Phone: (313) 916-2181
Type: Location
45816 Schoenherr Rd
Shelby Township, MI 483156028
Phone: (586) 842-2400
Type: Location
24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR, MI 481059484
Phone:
Type: Mailing
20761 MENDOCINO DR
CLINTON TOWNSHIP, MI 480383342
Phone:
Type: Mailing
12150 30 MILE RD STE 105
WASHINGTON, MI 480952035
Phone: (586) 336-7333
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: 2023-11-03
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 |
|---|---|---|---|---|
| I20231103002351 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| - | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Sports Medicine, Orthopedic Surgery | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physical Therapist In Private Practice | MI |
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