Individual provider Active NPI

Jennifer Dinsmoore, MSN, FNP-BC

  • Family Nurse Practitioner
  • Caro, MI
National Provider Identifier
1023592516
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704293508 Issued in MI
Practice address
1070 E Caro Rd
Caro, MI 48723-1236
Phone
(989) 672-2500
Fax
(989) 672-2655
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704293508 MI Primary

Addresses

Primary practice location

1070 E Caro Rd
Caro, MI 48723-1236

Mailing address

1070 E Caro Rd
Caro, MI 48723-1236
Phone (989) 672-2500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030001646 MI Practitioner - Nurse Practitioner 6406109941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Michigan Medicine PCGroup PAC ID 4981626736, 3 clinicians

Practice addresses (Care Compare)

1070 Caro Rd
Caro, MI 48723-1217
Phone (989) 672-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Medicine PC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1070 E Caro Rd
Caro, MI 48723
Phone (989) 672-0341

Interoperability endpoints

  • Direct secure messaging: jdinsmoore101562@direct.covenanthealthcare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1023592516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231236",
            "telephone_number": "989-672-2500",
            "fax_number": "989-672-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231236",
            "telephone_number": "989-672-2500",
            "fax_number": "989-672-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINSMOORE",
        "first_name": "JENNIFER",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704293508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.