MARTYNA JEZAK NURSE PRACTITIONER
NPI 1326641754
Nurse Practitioner - Acute Care in Detroit, MI

Q: What is Martyna Jezak's NPI number?

The NPI number for Martyna Jezak is 1326641754. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Q: What is Martyna Jezak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Martyna Jezak was last updated on August 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 18, 2020PECOS EnrolledAccepts Medicare Assignment

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: August 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2021, Nov 18, 2020 (2 updates tracked since 2020).

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About Martyna Jezak Nurse Practitioner NPPES

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

MARTYNA JEZAK NURSE PRACTITIONER (NPI 1326641754) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704306096) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of University Of Michigan Medical School (2020).

NPPES Registry Identity

NPI1326641754

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMARTYNA JEZAKCredential: NURSE PRACTITIONER

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address22101 Moross RdDetroit, MI 48236-2148 · (586) 925-3760

Phone(313) 343-4000

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2020

Enumeration DateNovember 18, 2020

Last NPPES UpdateAugust 21, 20212 updates tracked since enumeration

NPPES CertifiedAugust 21, 2021

✔ NPI 1326641754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704306096

22101 MOROSS RD, Detroit, MI 48236

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martyna Jezak Nurse Practitioner 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.

PECOS PAC ID1658804372

PECOS Enrollment IDI20241101001338

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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.

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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)