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JUSTIN JICKESS
NPI 1245934678
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Active since March 29, 2023PECOS Enrolled
5333 MCAULEY DRIVE, SUITE 2115, YPSILANTI, MI 48197(734) 712-3971 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Jickess NPPES

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

JUSTIN JICKESS (NPI 1245934678) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245934678
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN JICKESS
Location Address5333 MCAULEY DRIVE, SUITE 2115Ypsilanti, MI 48197-8633
Mailing Address500 E Regency CirCanfield, OH 44406-9643 · (330) 502-5005
Phone(734) 712-3971
Sole ProprietorYes
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1245934678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5333 MCAULEY DRIVE, Ypsilanti, MI 48197
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Jickess 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.

Other Providers at the Same Location NPPES 20

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

RACHNA SAHASRABUDHE DO
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
PAUL ALAN BERKOWITZ M.D.
Internal Medicine (Nephrology)
5333 MCAULEY DRIVE, SUITE 4003
YPSILANTI, MI 48197
Washtenaw County (734) 712-3470
MORGAN LEE HODGES PA
Physician Assistant
5333 MCAULEY DRIVE, SUITE 2115
YPSILANTI, MI 48197
Washtenaw County (734) 712-3971
DR. DAVID PAUL STEINBERG M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
5333 MCAULEY DRIVE, SUITE 2009
YPSILANTI, MI 48197
Washtenaw County (734) 712-0050
DR. MISHA AFTAB KHAN M.D.
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
LILIAN D BRIGGS MD
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
MRS. PETRA BOONSTRA
Audiologist
5333 MCAULEY DRIVE, SUITE 2016
YPSILANTI, MI 48197
Washtenaw County (734) 434-3200
ARI KRISWARI MD
Physical Medicine & Rehabilitation
5333 MCAULEY DRIVE, SUITE 2009
YPSILANTI, MI 48197
Washtenaw County (734) 712-0050

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 Justin Jickess's NPI number?

The NPI number for Justin Jickess is 1245934678. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Justin Jickess located?

Justin Jickess practices at 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197. The listed phone number is (734) 712-3971.

What is Justin Jickess's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Jickess enrolled in Medicare?

Yes. Justin Jickess is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Jickess was last updated on March 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.