Individual provider Active NPI

Dana Czekaj, AG-ACNP

  • Acute Care Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1639694292
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704293893 Issued in MI
Practice address
1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853
Phone
(517) 205-1431
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704293893 MI Primary

Addresses

Primary practice location

1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853

Mailing address

2804 S Knightsbridge Cir
Ann Arbor, MI 48105-9288

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
I20170911001861 MI Practitioner - Nurse Practitioner 1557634755 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704293893MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Mercy Livingston Hospital CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Mercy Hospital Acute Care CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
St Joseph Mercy Hospital CurrentSince Sep 1, 2022 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients

Locations

7575 Grand River Rd
Brighton, MI 48114
Phone (810) 844-7544

1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

20555 Victor Pkwy
Stop 3A
Livonia, MI 48152

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1639694292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 S KNIGHTSBRIDGE CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011853",
            "telephone_number": "517-205-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZEKAJ",
        "first_name": "DANA",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704293893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.