Individual provider Active NPI

Jonathan Michael Fleezanis

  • Adult Health Nurse Practitioner
  • Novi, MI
National Provider Identifier
1013673581
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704349990 Issued in MI
Practice address
39500 W 10 Mile Rd Ste 100
Novi, MI 48375-2947
Phone
(248) 476-0035
NPI assigned
Nov 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704349990 MI Primary

Addresses

Primary practice location

39500 W 10 Mile Rd Ste 100
Novi, MI 48375-2947

Mailing address

45152 Byrne CT
Northville, MI 48167-2827
Phone (313) 729-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119002266 MI Practitioner - Nurse Practitioner 0749679314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Physical Medicine PLLCGroup PAC ID 0042631194, 20 clinicians

Practice addresses (Care Compare)

42350 Grand River Ave
Novi, MI 48375-1838
Phone (248) 697-2942

Hospital & facility affiliations

  • Straith Hospital for Special Surgery Hospital, Southfield, MI, CCN 230071
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

Merit-based Incentive Payment System (MIPS)

Final score
88.73 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
73.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJACD/Endpoint/HCJACD
  • Direct secure messaging: jonathan.fleezanis.1@11987.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1013673581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45152 BYRNE CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672827",
            "telephone_number": "313-729-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-476-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEEZANIS",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704349990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.