Individual provider Active NPI

Jasmine S Griffin, APRN FNP

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1053049577
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704299982 Issued in MI
Practice address
20901 Moross Rd
Detroit, MI 48236-2058
Phone
(313) 626-2600
Fax
(313) 626-2605
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704299982 MI Primary

Addresses

Primary practice location

20901 Moross Rd
Detroit, MI 48236-2058

Mailing address

559 W Grand Blvd
Detroit, MI 48216-2200
Phone (313) 554-0485

Other practice location 1

5716 Michigan Ave
Detroit, MI 48210-3039
Phone (313) 554-1095

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
I20221122001480 MI Practitioner - Nurse Practitioner 5991173031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Community Care, Inc.Group PAC ID 1254393549, 17 clinicians

Practice addresses (Care Compare)

20901 Moross Rd
Detroit, MI 48236-2058
Phone (313) 626-2600

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704299982MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Community Care, Inc. Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Covenant Community Care, Inc. CurrentSince Oct 4, 2024 Accepting new patients
Covenant Community Care, Inc. Past Accepting new patients
Covenant Community Care, Inc. Past Accepting new patients
Detroit Health Care for the Homeless Past Accepting new patients

Locations

5716 Michigan Ave
Detroit, MI 48210
Phone (313) 554-1095

17625 Joy Rd
Detroit, MI 48228
Phone (313) 446-8800

559 W Grand Blvd
Detroit, MI 48216
Phone (313) 554-0485

20901 Moross Rd
Grosse Pointe, MI 48236
Phone (313) 626-2600

Interoperability endpoints

  • Direct secure messaging: jasmine.griffin.1@19800.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1053049577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482162200",
            "telephone_number": "313-554-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20901 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362058",
            "telephone_number": "313-626-2600",
            "fax_number": "313-626-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5716 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482103039",
            "country_code": "US",
            "telephone_number": "313-554-1095",
            "fax_number": "313-899-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JASMINE",
        "middle_name": "S",
        "credential": "APRN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704299982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.