Active NPI
Erin Marie Jakovac, FNP
- Nurse Practitioner
- Wyandotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704304551
- Practice address
- 2124 Davis St
Wyandotte, MI 48192-3539 - Phone
- (734) 308-3814
- NPI assigned
- Dec 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704304551 | MI | Primary |
Addresses
Primary practice location
2124 Davis St
Wyandotte, MI 48192-3539
Mailing address
2124 Davis St
Wyandotte, MI 48192-3539
Phone (734) 308-3814
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohammad Saleh MD PC | Current | Accepting new patients | |
| Alzohaili Medical Consultants MD PC | Current | Accepting new patients | |
| Ally Endocrinology PLLC | Past | Accepting new patients |
Locations
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
1637 Monroe St
Dearborn, MI 48124
Phone (313) 278-1700
5250 Auto Club Dr
Ste 200
Dearborn, MI 48126
Phone (313) 203-5300
5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300
Interoperability endpoints
- https://api.platform.athenahealth.com/24740/brand/1/csg/1/fhir/r4
- erin.jakovac.1@24740.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Dearborn, MI
- NPI 1689979569
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1306136320
-
- Medical Specialty Clinic/Center
- Troy, MI
- NPI 1255900395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1003574914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 DAVIS ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481923539",
"telephone_number": "734-308-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 DAVIS ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481923539",
"telephone_number": "734-308-3814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKOVAC",
"first_name": "ERIN",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704304551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.