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

Justin John Peklo

Individual provider Family Nurse Practitioner · NPI 1750876181

Justin John Peklo is a Nurse Practitioner in Macomb, Michigan. Qualified in 2018, 8 years ago. Practices with Minuteclinic Diagnostic of Michigan PC, a 40-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

21777 21 Mile Rd
Macomb, MI 48044-2962
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704307050 (MI)

Record details

NPI number1750876181
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 27, 2018
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020
Mailing address21777 21 Mile Rd, Macomb, MI 48044-2962

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Minuteclinic Diagnostic Of Michigan Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Macomb