Jennifer Lynn Moilanen, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704249083 Issued in MI

Practice address

107 N Bridge St
Saranac, MI 48881-5121

Phone

(616) 642-9408

Fax

(616) 642-6940

NPI assigned

Aug 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sparrow Ionia Hospital 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sparrow Ionia Hospital Hospital, Ionia, MI, CCN 231331
• Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sparrow Ionia Hospital

  • Critical Access Hospital
  • Ionia, MI
  • NPI 1700820065

  MI

  Medicare reassignment Care Compare group NPD
• Sparrow Ionia Hospital

  • Rural Health Clinic/Center
  • Saranac, MI
  • NPI 1811380066

  MI

  Medicare reassignment Care Compare group NPD
• Sparrow Ionia Hospital

  • Rural Health Clinic/Center
  • Ionia, MI
  • NPI 1790980712

  Family

  Care Compare group NPD
• Sparrow Ionia Hospital

  • Rural Health Clinic/Center
  • Portland, MI
  • NPI 1295801108
  Care Compare group
• Sparrow Ionia Hospital

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1033271143
  NPD

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

• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711

  Hospital

  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719

  Hospital

  Care Compare affiliation
• Sparrow Ionia Hospital

  • Critical Access Hospital
  • Ionia, MI
  • NPI 1700820065

  Hospital

  Care Compare affiliation
• Spectrum Health United

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1053669895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N BRIDGE ST",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "488815121",
            "telephone_number": "616-642-9408",
            "fax_number": "616-642-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N BRIDGE ST",
            "city": "SARANAC",
            "state": "MI",
            "postal_code": "488815121",
            "telephone_number": "616-642-9408",
            "fax_number": "616-642-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOILANEN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704249083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "363LF0000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Krikke
• Aaron J Kroemer, DDS
• Jessica Lindner, MS, OTRL
• Randy Erwin Masterson, MA, LPC
• John Patrick McRee, D.D.S.
• Samantha Leigh Newell, DPT
• Katarina Oblinger, LMSW
• Rebecca Marie Palmer, LMSW
• Sarah Jean Rhein, LBSW, MA, LLPC
• Faiza Sharif

• All providers in Saranac, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.

Verify at the official NPI Registry.