Active NPI
Jessica L Gelfand, PA-C
- Surgical Physician Assistant
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5601008801
- Practice address
- 26750 Providence Pkwy Ste 200
Novi, MI 48374-1212 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Sep 4, 2018
- Last updated
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601008801 | MI | Primary |
Addresses
Primary practice location
26750 Providence Pkwy Ste 200
Novi, MI 48374-1212
Mailing address
18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Southern Illinois University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22250 Providence Dr
Suite 401
Southfield, MI 48075-6212
Phone (248) 563-0306
26750 Providence Pkwy
Suite 200
Novi, MI 48374-1212
Phone (248) 349-7015
26850 Providence Pkwy
Suite 260
Novi, MI 48374-1256
Phone (248) 465-5140
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
8273 Grand River Rd
Suite 210
Brighton, MI 48114-9346
Phone (866) 974-2673
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.88 of 100
- Quality
- 69.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008801 | MI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| The Porretta Center for Orthopaedic Surgery, PLLC | Surgical | Current | Accepting new patients |
| The Porretta Center for Orthopaedic Surgery, PLLC | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Past | Accepting new patients | |
| Medical X-Ray Consultants, LTD | Surgical | Past | Accepting new patients |
Locations
18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706
1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360
1225 S Latson Rd
Ste 380
Howell, MI 48843
Phone (248) 465-5140
26750 Providence Pkwy
Ste 200
Novi, MI 48374
Phone (248) 349-7015
26850 Providence Pkwy
Ste 260
Novi, MI 48374
Phone (248) 465-5140
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306
22250 Providence Dr
Ste 401
Southfield, MI 48075
Phone (248) 349-7015
Interoperability endpoints
- jessica.gelfand.1@22724.direct.athenahealth.com
- jgelfand1129813@direct.hfhs.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Henry Ford Providence Hospital
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Novi, MI
- NPI 1306818331
Surgical
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1962512202
-
dba Henry Ford Providence Hospital
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Customized Equipment (DME)
- Howell, MI
- NPI 1407428584
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Surgical
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1053893263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26750 PROVIDENCE PKWY STE 200",
"city": "NOVI",
"state": "MI",
"postal_code": "483741212",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELFAND",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601008801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.