MR. MARK L PASSOW (FNP-BC) – Family Nurse Practitioner, NPI 1871908897
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MR. MARK L PASSOW (FNP-BC)
20331 FARMINGTON RD
LIVONIA, MI 481521411
Phone: (248) 474-2288
Type: Location
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 936-4000
Type: Mailing
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 481095000
Phone: (734) 936-4000
Type: Location
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-5000
Type: Location
4230 Copper Ridge Dr
Traverse City, MI 496847256
Phone: (231) 935-6380
Type: Location
234 Lake St
Roscommon, MI 486539203
Phone: (989) 275-1200
Type: Location
2585 W Houghton Lake Dr
Prudenville, MI 486519624
Phone: (989) 366-2900
Type: Location
1321 S Mount Tom Rd
Mio, MI 486479518
Phone: (989) 275-1200
Type: Location
1200 W North Down River Rd Ste C
Grayling, MI 497388024
Phone: (989) 344-5910
Type: Location
1100 E Michigan Ave
Grayling, MI 497381312
Phone: (989) 348-5461
Type: Location
1010 W North Down River Rd
Grayling, MI 497382060
Phone: (989) 348-0800
Type: Location
1250 E Michigan Ave
Grayling, MI 497387074
Phone: (989) 348-0550
Type: Location
829 N Center Ave Ste 140
Gaylord, MI 497351598
Phone: (989) 731-7870
Type: Location
829 N Center Ave Ste 210
Gaylord, MI 497351599
Phone: (989) 731-7860
Type: Location
3040 Bourn St
Lewiston, MI 497568134
Phone: (989) 786-4877
Type: Location
1996 Walden Dr
Gaylord, MI 497358241
Phone: (989) 731-4111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,333.
Total Amount is formed as General ($1,333) + Research ($0) + Ownership ($0) = $1,333.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($193).
Total Amount
$1,333
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,333
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
| Company | Amount |
|---|---|
| Lilly USA, LLC | $193 |
| Teva Pharmaceuticals USA, Inc. | $154 |
| ABBVIE INC. | $147 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $131 |
| GlaxoSmithKline, LLC. | $127 |
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: 2016-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160913002713 | 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 | 59 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 14 | $0 |
Insurance plans in this area (ZIP 48152)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| - | NY |
Reviews
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