Active NPI
Jonesville Health Care PLLC
- Family Medicine Physician
- Jonesville, MI
National Provider Identifier
1063573830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JONESVILLE HEALTH CARE PLLC
- Practice address
- 216 Olds St
Jonesville, MI 49250-1128 - Phone
- (517) 849-7100
- Fax
- (517) 849-2453
- NPI assigned
- Dec 13, 2006
- Last updated
- Sep 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sheila K McMullen
- Title
- Manager
- Phone
- (517) 849-7100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
216 Olds St
Jonesville, MI 49250-1128
Mailing address
216 Olds St
Jonesville, MI 49250-1128
Phone (517) 849-7100
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0153000175 | Other | MI | BLUE CROSS |
| 7559446 | Other | MI | AETNA |
| P117885 | Other | MI | BCN |
| 0120255 | Other | MI | PHP |
| 143119 | Other | MI | GREAT LAKES |
| 114511135 | Medicaid | MI | |
| 143115 | Other | MI | GREAT LAKES |
| P30270F | Other | MI | BCN |
| 0153000155 | Other | MI | BLUE CROSS |
| 114516211 | Medicaid | MI | |
| 0120256 | Other | MI | PHP |
| 7537437 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1022773 | Jonesville Health Care PLLC | Certificate of waiver | Feb 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
206 Olds St
Jonesville, MI 49250
Phone (517) 849-7100
216 Olds St
#M99
Jonesville, MI 49250
Phone (517) 849-7100
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Jonesville, MI
- NPI 1689690158
-
- Family Medicine Physician
- Jonesville, MI
- NPI 1174549661
-
- Family Nurse Practitioner
- Jonesville, MI
- NPI 1447327077
-
- Family Nurse Practitioner
- Jonesville, MI
- NPI 1255837878
-
- Family Nurse Practitioner
- Jonesville, MI
- NPI 1376277855
-
- Physician Assistant
- Hillsdale, MI
- NPI 1356541270
-
- Medical Physician Assistant
- Jonesville, MI
- NPI 1508099649
-
- Physician Assistant
- Jonesville, MI
- NPI 1013932391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410220800000",
"number": "1063573830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 OLDS ST",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492501128",
"telephone_number": "517-849-7100",
"fax_number": "517-849-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 OLDS ST",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492501128",
"telephone_number": "517-849-7100",
"fax_number": "517-849-2453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONESVILLE HEALTH CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2014-09-09",
"status": "A",
"authorized_official_last_name": "MCMULLEN",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "517-849-7100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0153000175",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7559446",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P117885",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "0120255",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "143119",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114511135",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "143115",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P30270F",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0153000155",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114516211",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "0120256",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7537437",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.