Active NPI
Ashley Jeanell Klisz, NP
- Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704257177
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Mar 13, 2015
- Last updated
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704257177 | MI | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 4704257177 | MI |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
26400 W 12 Mile Rd Ste 170
Southfield, MI 48034-1753
Phone (248) 208-8787 ext. 1315
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.86 of 100
- Quality
- 78.24
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Practitioner | Current | Accepting new patients |
| Associates in Neurology, PC | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Nurse Practitioner | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
27555 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 478-5512
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
26400 W 12 Mile Rd
Ste 170
Southfield, MI 48034
Phone (248) 208-8787
2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400
Interoperability endpoints
- aklisz1134877@direct.hfhs.org
- ashleyklisz@ain.allscriptsdirect.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Ann Arbor, MI
- NPI 1447275102
-
- Neurology Physician
- Farmington Hills, MI
- NPI 1891792628
-
dba Henry Ford Providence Hospital
- Surgery Physician
- Southfield, MI
- NPI 1942265236
Nurse Practitioner
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
dba Henry Ford Providence Hospital
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
dba Henry Ford Providence Hospital
- Internal Medicine Physician
- Southfield, MI
- NPI 1922063213
-
dba Millennium West Diagnostic Center
- Diagnostic Radiology Physician
- Westland, MI
- NPI 1043559404
-
dba Urology Specialist of Michigan
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1225421373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [
{
"address_1": "26400 W 12 Mile Rd Ste 170",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480341753",
"country_code": "US",
"telephone_number": "248-208-8787 x1315",
"fax_number": "888-821-9112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLISZ",
"first_name": "ASHLEY",
"middle_name": "JEANELL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-13",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704257177",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704257177",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.