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JILLIAN N PETKUS FNP-BC
NPI 1174879951
Nurse Practitioner - Family in Oxford, MI

Active since July 30, 2012PECOS Enrolled
72 S WASHINGTON ST, OXFORD, MI 48371(248) 236-8333(248) 236-8666 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jillian N Petkus Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN N PETKUS FNP-BC (NPI 1174879951) is an individual family provider in Oxford, Michigan, licensed in Michigan (4704266490) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174879951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILLIAN N PETKUSCredential: FNP-BC
Location Address72 S WASHINGTON STOxford, MI 48371-6421
Mailing Address215 E Auburn RdRochester Hills, MI 48307-5260 · (248) 853-2009
Phone(248) 236-8333
Fax(248) 236-8666
Sole ProprietorNo
Enumeration DateJuly 30, 2012
Last NPPES UpdateAugust 6, 2014
✔ NPI 1174879951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704266490
72 S WASHINGTON ST, Oxford, MI 48371
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN700F379500MI
Medicaid1700036936MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian N Petkus Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48371 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers75 claims75 services$13.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers77 claims77 services$62.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH MICHAEL WALTER NP-C
Nurse Practitioner (Family)
72 S WASHINGTON ST, SUITE 102
OXFORD, MI 48371
Oakland County (248) 236-8333
DANIA DEMASHKIEH
Pharmacist
72 S WASHINGTON ST
OXFORD, MI 48371
Oakland County (248) 628-7990
GLENNAN MEDICAL GROUP PC
Internal Medicine
72 S WASHINGTON ST, SUITE 204
OXFORD, MI 48371
Oakland County (248) 628-2233
SARAH ELIZABETH GIROUX PT
Physical Therapist
72 S WASHINGTON ST, SUITE 106
OXFORD, MI 48371
Oakland County (248) 460-1572
OXFORD URGENT CARE, LLC
Internal Medicine
72 S WASHINGTON ST, SUITE 102
OXFORD, MI 48371
Oakland County (248) 236-8333
DR. SHERYL A WISSMAN MD
Internal Medicine
72 S WASHINGTON ST, SUITE 204
OXFORD, MI 48371
Oakland County (248) 628-2233
LAKESIDE MEDICAL GROUP, PC
Family Medicine
72 S WASHINGTON ST, SUITE 202
OXFORD, MI 48371
Oakland County (248) 628-0220
MR. LAWRENCE MICHAEL OSHIER M.A.
Psychologist (Clinical)
72 S WASHINGTON ST, SUITE 206
OXFORD, MI 48371
Oakland County (248) 693-4629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Petkus's NPI number?

The NPI number for Jillian Petkus is 1174879951. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Jillian Petkus located?

Jillian Petkus practices at 72 S Washington St, Oxford, MI 48371. The listed phone number is (248) 236-8333.

What is Jillian Petkus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jillian Petkus enrolled in Medicare?

Yes. Jillian Petkus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jillian Petkus was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.