Active NPI
Jenna Mulder, FNP
- Family Nurse Practitioner
- Eaton Rapids, MI
National Provider Identifier
1033933833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704357333
- Practice address
- 1500 S Main St
Eaton Rapids, MI 48827-1952 - Phone
- (517) 663-2671
- NPI assigned
- Nov 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Eaton Rapids, MI
- NPI 1437383296
-
- Medicare Defined Swing Bed Hospital Unit
- Eaton Rapids, MI
- NPI 1629294046
-
- Physician Assistant
- Jackson, MI
- NPI 1316719859
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
Hospital
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eaton Rapids Medical Center
Practice addresses (Care Compare)
1500 S Main St
Eaton Rapids, MI 48827-1952
Hospital & facility affiliations
- Eaton Rapids Medical Center
- Edward W Sparrow Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250123002666 | MI | Practitioner - Nurse Practitioner | 5294264016 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704357333 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Eaton Rapids Medical Center | Current | Accepting new patients |
Locations
1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671
400 E Main St
#200
Springport, MI 49284
Phone (517) 857-4500
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704357333 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1500 S Main St
Eaton Rapids, MI 48827-1952
Mailing address
2357 Pinch Hwy
Charlotte, MI 48813-8776
Phone (517) 242-3382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2024.
{
"created_epoch": "1731110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731110400000",
"number": "1033933833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2357 PINCH HWY",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488138776",
"telephone_number": "517-242-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "EATON RAPIDS",
"state": "MI",
"postal_code": "488271952",
"telephone_number": "517-663-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDER",
"first_name": "JENNA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-09",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704357333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eaton Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.