OKTAVIJAN MIKLEUS (NURSE PRACTITIONER) – Adult Health Nurse Practitioner, NPI 1831239102

OKTAVIJAN MIKLEUS (NURSE PRACTITIONER) is a healthcare provider. based in Saint clair shores, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704237979 (MI). The NPI Number for OKTAVIJAN MIKLEUS (NURSE PRACTITIONER) is 1831239102

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
OKTAVIJAN MIKLEUS (NURSE PRACTITIONER)
NPI
1831239102
Phone
(586) 771-4820
Address
20952 E 12 MILE RD
Enumeration Date
7 February 2007
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867714820
Graduation Year
2005 (21 years ago)
PAC ID
9032203633
Group Practice PAC ID
1052223492
Professional Enrollment ID
I20070913000134
Address ID
MI480813203SA20952RDXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for OKTAVIJAN MIKLEUS (NURSE PRACTITIONER)

  • 20952 E 12 MILE RD

    SUITE 200

    SAINT CLAIR SHORES, MI 480813200

    Phone: (586) 771-4820

    Fax: (586) 771-6620

    Type: Mailing

  • 33014 5 MILE RD

    LIVONIA, MI 481543075

    Phone: (734) 261-7401

    Fax: (734) 261-7410

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2007-09-13

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
I20070913000134INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9053$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 48081)

Loading plans...

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: 1052223492View full group profile
NameSpecialtyState
U R O L O G YMI
U R O L O G YMI
U R O L O G YOK
Radiation OncologyFL
Nurse PractitionerMI
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI
Physical Therapist In Private PracticeMI
U R O L O G YMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find OKTAVIJAN MIKLEUS (NURSE PRACTITIONER)'s NPI?
You can confirm OKTAVIJAN MIKLEUS (NURSE PRACTITIONER) with NPI 1831239102; it appears in the national provider directory.
Does this profile mean OKTAVIJAN MIKLEUS (NURSE PRACTITIONER) is currently active?
Yes — OKTAVIJAN MIKLEUS (NURSE PRACTITIONER) appears active in the national provider directory.
What kind of provider is OKTAVIJAN MIKLEUS (NURSE PRACTITIONER)?
The page reflects Adult Health Nurse Practitioner for OKTAVIJAN MIKLEUS (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
What location shows for OKTAVIJAN MIKLEUS (NURSE PRACTITIONER)?
We surface Saint Clair Shores, Michigan for OKTAVIJAN MIKLEUS (NURSE PRACTITIONER) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MS. SUSAN LOUSIE DILLON (NURSE PRACTIOTIONER)

Adult Health Nurse Practitioner
John D. Dingell VA Medical Center, 4646, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
NPI: 1063527877

LISA A EVANS-THOMAS (NP)

Adult Health Nurse Practitioner
East 12 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48081, United States
NPI: 1609951904

MS. MICHELLE LYNN SLOAN (RN, MSN, APN, BC)

Adult Health Nurse Practitioner
49193, Frances Drive, Willowood, Waldenburg, Macomb Township, Macomb County, Michigan, 48044, United States
NPI: 1730232463

MS. CARRIE NICOLE EVATZ (ANP, BC)

Adult Health Nurse Practitioner
24508 STAR VALLEY DR
NPI: 1255763678

CYNTHIA SHIELDS (N.P.)

Adult Health Nurse Practitioner
27739 JEFFERSON AVE
NPI: 1417361361

BETHANY ANN MCDADE (AGPCNP-BC)

Adult Health Nurse Practitioner
5333 MCAULEY DR
NPI: 1699140418

ANTHONY FAZI (NP)

Adult Health Nurse Practitioner
22701 Hall Rd Ste 100
NPI: 1851743140

KRISTEN ESTHER WHITE (AGPCNP-BC)

Adult Health Nurse Practitioner
15959 Hall Rd Ste 100
NPI: 1598210429

EDMUND LORANGER NEUMAIER (RN NP-C)

Adult Health Nurse Practitioner
Harper Avenue, Saint Clair Shores, Macomb County, Michigan, 48036, United States
NPI: 1942711452