Jennifer Marie Anderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12210117 Issued in MI

Practice address

2863 Corinthia Dr
Rochester Hills, MI 48309-4330

Phone

(586) 244-9359

NPI assigned

Dec 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrative Family Care PLLCGroup PAC ID 5890028336, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.anderson.1@19637.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19637/brand/1/csg/1/fhir/r4

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.

• Integrative Family Care, PLLC

  • Family Medicine Physician
  • Shelby Township, MI
  • NPI 1225692387
  Medicare reassignment Care Compare group NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  NPD
• Integrated Health Care Associates PC

  • Family Medicine Physician
  • West Bloomfield, MI
  • NPI 1861510968
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1013676113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 CORINTHIA DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094330",
            "telephone_number": "586-244-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 CORINTHIA DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094330",
            "telephone_number": "586-244-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F12210117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kim Professional Counseling Services, LLC
• Linda Andersen, RN
• Cynitra Tinika Anderson
• Heather Anderson, CNM
• Jennifer Anderson
• Larry E Anderson, PA-C
• Andrew Ciarlone, DO PLLC
• Andrew J. Madak, D.O., P.C.
• Alison Sara Koo Andrus-Galliway, MA
• Angel Direct Homecare, LLC

• Family Nurse Practitioner in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.
• 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.

Verify at the official NPI Registry.