AMY JAK PHD
NPI 1326103771
Psychologist - Clinical in Ann Arbor, MI
About Amy Jak Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY JAK PHD (NPI 1326103771) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301019762) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and maintains a secondary practice location in La Jolla.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Jak Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Jak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ann Arbor, MI 48109
- Reassigned Medicare billing, Michigan enrollment
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Michigan Health System
Acute Care Hospitals · Ann Arbor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ANN ARBOR, MI 48108
ANN ARBOR, MI 48108
ANN ARBOR, MI 48108
ANN ARBOR, MI 48108
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 Amy Jak's NPI number?
The NPI number for Amy Jak is 1326103771. It was assigned to this individual provider in the NPPES registry on December 26, 2006. The provider is also known as Amy Wise.
Where is Amy Jak located?
Amy Jak practices at 325 E Eisenhower Pkwy, Ann Arbor, MI 48108. The listed phone number is (734) 936-7175.
What is Amy Jak's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Amy Jak enrolled in Medicare?
Yes. Amy Jak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Jak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Jak reassigns Medicare benefits to Regents Of The University Of Michigan (Ann Arbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Jak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Jak accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Amy Jak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Amy Jak affiliated with any hospitals?
According to CMS data, Amy Jak is affiliated with University Of Michigan Health System.
When was this NPI record last updated?
The NPPES record for Amy Jak was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Amy Jak, PHD · NPI 1326103771
Clinical provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1326103771 (Entity type: Individual)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301019762 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 E EISENHOWER PKWY, Ann Arbor, MI 48108-3364
- **Phone:** (734) 936-7175
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Regents Of The University Of Michigan (NPI 1568487130, Ann Arbor, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326103771) · Data from the CMS NPPES public registry.