Individual provider Active NPI

Jodie Eickhoff, N.P.-BC

  • Adult Health Nurse Practitioner
  • Troy, MI
National Provider Identifier
1033549381
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704240718 Issued in MI
Practice address
6535 Rochester Rd Ste 2
Troy, MI 48085-1362
Phone
(248) 813-0060
NPI assigned
Nov 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704240718 MI Primary

Addresses

Primary practice location

6535 Rochester Rd Ste 2
Troy, MI 48085-1362

Mailing address

6535 Rochester Rd
Ste 102
Troy, MI 48085-1362
Phone (810) 241-4833

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
I20160902000503 MI Practitioner - Nurse Practitioner 0042506826 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Institute for Pain Management P.C. CurrentSince Aug 1, 2016 Accepting new patients

Locations

6535 Rochester Rd
Ste 102
Troy, MI 48085
Phone (248) 813-0060

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.

NPI Registry JSON

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

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1033549381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD",
            "address_2": "STE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362",
            "telephone_number": "810-241-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD STE 2",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362",
            "telephone_number": "248-813-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHOFF",
        "first_name": "JODIE",
        "credential": "N.P.-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-24",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704240718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.