MR. JASON MICHAEL KIERNAN (NP, PHD) – Acute Care Nurse Practitioner, NPI 1972605715
Acute Care 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. JASON MICHAEL KIERNAN (NP, PHD)
3003 W GRAND RIVER AVE
HOWELL, MI 488438539
Phone: (517) 546-4210
Type: Mailing
31178, Country Bluff, Crosswinds of Farmington Hills Condominiums, Farmington Hills, Oakland County, Michigan, 48331, United States
FARMINGTON HILLS, MI 483311012
Phone: (313) 407-7795
Type: Mailing
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482022608
Phone: (313) 874-9500
Type: Location
200 NEW YORK AVE STE 200
OAK RIDGE, TN 378305225
Phone: (865) 835-5400
Type: Mailing
200 NEW YORK AVE
OAK RIDGE, TN 378305212
Phone: (865) 835-5400
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: 2007-10-19
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 |
|---|---|---|---|---|
| I20071019000394 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48843)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | MI | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | MI | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | NC |
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