Active NPI
Jaclyn R Miscovich, FNP-BC
- Family Nurse Practitioner
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704302387
- Practice address
- 1642 Westgate Cir Ste 202
Brentwood, TN 37027-8195 - Phone
- (615) 941-8550
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000025683 | TN | |
| Family Nurse Practitioner | 363LF0000X | 4704302387 | MI | Primary |
Addresses
Primary practice location
1642 Westgate Cir Ste 202
Brentwood, TN 37027-8195
Mailing address
265 Thalia Ave
Rochester Hills, MI 48307-1147
Phone (586) 453-4907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15959 Hall Rd
Suite 104
Macomb, MI 48044-5364
Phone (586) 884-2688
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.04 of 100
- Quality
- 67.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25683 | TN | MD | Diagnostic Radiology Physician |
| 4704302387 | MI | MD | Family Nurse Practitioner |
| APN0000025683 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commerce Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Chesterfield Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Current | Accepting new patients | |
| Rochester Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Canton Urgent Care Walk-in Clinic PC | Current | Accepting new patients | |
| Doctors Urgent Care Southfield | Current | Accepting new patients | |
| Clinton Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Taylor Urgent Care PC | Current | Accepting new patients | |
| Shelby Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Troy Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Sterling Heights Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Farmington Hills Urgent Care Walk-in Clinic PC | Past | Accepting new patients |
Locations
43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050
51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805
37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334
2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049
25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672
15959 Hall Rd
Ste 104
Macomb, MI 48044
Phone (586) 884-2688
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022
46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205
43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277
23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400
2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134
4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- West Bloomfield, MI
- NPI 1578048096
-
- Urgent Care Clinic/Center
- Canton, MI
- NPI 1649712480
-
- Urgent Care Clinic/Center
- Chesterfield, MI
- NPI 1629547195
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1831610070
-
- Urgent Care Clinic/Center
- Commerce TWP, MI
- NPI 1952823825
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1326660929
-
- Urgent Care Clinic/Center
- Rochester Hills, MI
- NPI 1225554694
-
- Family Medicine Physician
- Shelby TWP, MI
- NPI 1285155119
-
- Urgent Care Clinic/Center
- Sterling Heights, MI
- NPI 1912413949
-
- Urgent Care Clinic/Center
- Taylor, MI
- NPI 1013321033
-
- Urgent Care Clinic/Center
- Troy, MI
- NPI 1720571227
-
- Urgent Care Clinic/Center
- Redford, MI
- NPI 1952791105
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1003475864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 THALIA AVE",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483071147",
"telephone_number": "586-453-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 WESTGATE CIR STE 202",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278195",
"telephone_number": "615-941-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCOVICH",
"first_name": "JACLYN",
"middle_name": "R",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000025683",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704302387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.