Jessica Nolan, MSN, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Montrose, MI
NPI 1043785165 · NPPES record last updated Oct 4, 2018
Key facts
- NPI
- 1043785165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704311826 (MI)
- Practice address
- 190 E State St
Montrose, MI 48457-9144 - Phone
- (810) 639-2056
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Michigan Infectious Disease PLLC
Arja MD PC
Practice addresses (Care Compare)
1375 N Main St
Elfaith Abter MD PLLC C/O McLaren Lapeer Re
Lapeer, MI 48446-1350
Phone (810) 667-5500
1739 N Saginaw St
Suite 104a
Lapeer, MI 48446-7627
Phone (810) 305-0061
Hospital & facility affiliations
- McLaren Lapeer Region
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190417002792 | MI | Practitioner - Nurse Practitioner | 8123369253 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704311826 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current |
Accepting new patients | |
| Hurley Medical Center | Current |
Accepting new patients | |
| East Michigan Infectious Disease PLLC | Current |
Accepting new patients | |
| Hurley Medical Center | Nurse Practitioner | Current |
Accepting new patients |
| Mayo Mitsuya PLLC | Past |
Accepting new patients |
Locations
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
1794 N Lapeer Rd
Lapeer, MI 48446
Phone (810) 245-1800
1794 N Lapeer Rd
Ste A
Lapeer, MI 48446
Phone (810) 245-1800
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
Interoperability endpoints
- jessica.nolan.1@16087.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704311826 | MI | Yes |
Addresses
Primary practice location
190 E State St
Montrose, MI 48457-9144
Mailing address
3664 E Lake Dr
Metamora, MI 48455-8914
Phone (906) 630-1745
Other providers in Montrose, MI
- Medilodge of Montrose Inc
- Meiser Adult Foster Care Home Inc
- Lucille Miller
- Montrose After Hours Clinic PLLC
- Montrose Family Medicine Associates PC
- Breanna Owen
- Jennifer Peel
- Theresa Marie Peter
- Jamie Eugene Pierson
- Haley Emily Pinkerman
All providers in Montrose, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.