JACQUELINE TIERNAN (OTRL) – Occupational Therapist, NPI 1912660689
Occupational Therapist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI
Provider Addresses for JACQUELINE TIERNAN (OTRL)
2463 DRAPER AVE
YPSILANTI, MI 481974313
Phone: (248) 202-0965
Type: Mailing
1001 LAURENCE AVE STE E
JACKSON, MI 492022980
Phone: (517) 750-4777
Type: Location
PO BOX 6069
ANN ARBOR, MI 481066069
Phone: (248) 202-0965
Type: Mailing
3200 E EISENHOWER PKWY
ANN ARBOR, MI 481083231
Phone: (734) 677-0070
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: 2023-01-31
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 |
|---|---|---|---|---|
| I20230131002161 | I | Occupational Therapist In Private Practice | 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 48197)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| - | MI | |
| Registered Dietitian Or Nutrition Professional | MI | |
| Qualified Speech Language Pathologist | MI | |
| P S Y C H I A T R Y | MI | |
| Physical Therapist In Private Practice | MI | |
| - | MI |
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.