Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Jakubik

Individual provider Acute Care Nurse Practitioner · NPI 1457753956

Michael Jakubik is a Nurse Practitioner in Southfield, Michigan. Qualified in 2014, 12 years ago. Practices with Medpro Primary Care PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818 Not confirmed with CMS for 12 years — call before visiting
Phone: (586) 849-3485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704282747 (MI)

Record details

NPI number1457753956
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2014
Last updated in NPPESSeptember 16, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medpro Primary Care Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Southfield