Jennifer Martz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704276213 Issued in MI

Practice address

6300 N Haggerty Rd
Suite Number 210
Canton, MI 48187-3568

Phone

(734) 641-3000

NPI assigned

Jul 27, 2015

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

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Hazem Raslan MD PCGroup PAC ID 9638162332, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

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.

• M Hazem Raslan MD PC

  • Pulmonary Disease Physician
  • Canton, MI
  • NPI 1306990676
  Medicare reassignment Care Compare group
• Michigan Lung & Sleep Association PC

  • Pulmonary Disease Physician
  • Flat Rock, MI
  • NPI 1265010227

  Family

  Medicare reassignment NPD
• Advanced Lungs & Critical Care Specialists PLLC

  • Pulmonary Disease Physician
  • Flat Rock, MI
  • NPI 1992353403
  NPD (past)

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

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Wayne, MI
  • NPI 1295785285
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1083099402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N HAGGERTY RD",
            "address_2": "SUITE NUMBER 210",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N HAGGERTY RD",
            "address_2": "SUITE NUMBER 210",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873568",
            "telephone_number": "734-641-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704276213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Michelle Marineau, OD
• Molly Ann Marlatt
• Joseph K Martenka, PT, DPT
• Ashley Martin, FNP-C
• Samantha Martin
• Nicholas Marzec
• Marzuka Khan Jalal OD PLLC
• Nadine Marie Masen
• Midha Mashhood
• Essa Elias Mashni, RPH

• Family Nurse Practitioner in Canton, MI
• Providers in Canton, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.