Individual provider Active NPI

Janelle Christensen, AGNP

  • Adult Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1053979310
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704348421 Issued in MI
Practice address
4100 Beecher Rd Ste B
Flint, MI 48532-3661
Phone
(810) 235-8568
Fax
(810) 235-4902
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 25894 TN
Adult Health Nurse Practitioner 363LA2200X 4704348421 MI Primary

Addresses

Primary practice location

4100 Beecher Rd Ste B
Flint, MI 48532-3661

Mailing address

4100 Beecher Rd Ste B
Flint, MI 48532-3661
Phone (810) 235-8568

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
I20210401001476 MI Practitioner - Nurse Practitioner 8123352259 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704348421MIMDAdult Health Nurse Practitioner
25894TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Current Accepting new patients
McLaren Flint Nurse Practitioner CurrentSince May 2, 2022 Accepting new patients
McLaren Flint CurrentSince May 2, 2022 Accepting new patients
McLaren Flint Past Accepting new patients
Provider Partners Care Management LP Nurse Practitioner PastSince Oct 30, 2021 Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

4100 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 342-3800

4100 Beecher Rd
Ste B
Flint, MI 48532
Phone (810) 235-8568

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Flint 144 clinicians

Practice addresses (Care Compare)

4100 Beecher Rd
Suite a
Flint, MI 48532-3661
Phone (810) 342-3800

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1053979310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-235-8568",
            "fax_number": "810-235-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-235-8568",
            "fax_number": "810-235-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JANELLE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "25894",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704348421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.