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JACLYN ESTHER MICHNIAK
NPI 1801447768
Nurse Practitioner - Family in South Lyon, MI

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment
11401 N RUSHTON RD, SOUTH LYON, MI 48178(248) 996-0421 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Jan 29, 2021, Sep 23, 2019 (3 updates tracked since 2019).

About Jaclyn Esther Michniak NPPES

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

JACLYN ESTHER MICHNIAK (NPI 1801447768) is an individual family provider in South Lyon, Michigan, licensed in Michigan (4704286575) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801447768
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN ESTHER MICHNIAK
Location Address11401 N RUSHTON RDSouth Lyon, MI 48178-9123
Mailing Address11401 N Rushton RdSouth Lyon, MI 48178-9123 · (248) 996-0421
Phone(248) 996-0421
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 23, 2019
Last NPPES UpdateApril 21, 20253 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1801447768 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 · 4704286575
11401 N RUSHTON RD, South Lyon, MI 48178
Open in Google Maps ↗

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

Jaclyn Esther Michniak 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 ID9436588654
PECOS Enrollment IDI20200408003821
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.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48178 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.

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 Jaclyn Michniak's NPI number?

The NPI number for Jaclyn Michniak is 1801447768. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Jaclyn Michniak located?

Jaclyn Michniak practices at 11401 N Rushton Rd, South Lyon, MI 48178. The listed phone number is (248) 996-0421.

What is Jaclyn Michniak's specialty?

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

Is Jaclyn Michniak enrolled in Medicare?

Yes. Jaclyn Michniak 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.

What insurance does Jaclyn Michniak accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jaclyn Michniak 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 Jaclyn Michniak affiliated with any hospitals?

According to CMS data, Jaclyn Michniak is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Michniak was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.