Individual provider Active NPI

Jennifer Hogan

  • Family Nurse Practitioner
  • Fenton, MI
National Provider Identifier
1093166340
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704265608 Issued in MI
Practice address
3220 W Silver Lake Rd
Fenton, MI 48430-1374
Phone
(810) 208-7470
Fax
(810) 208-7471
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704265608 MI Primary

Addresses

Primary practice location

3220 W Silver Lake Rd
Fenton, MI 48430-1374

Mailing address

3220 W Silver Lake Rd
Fenton, MI 48430-1374
Phone (810) 208-7470

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
I20160902000791 MI Practitioner - Nurse Practitioner 1557655727 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, shared by 21 NPIs, 183 clinicians
Northstar Palliative Care IncGroup PAC ID 6800148677, 26 clinicians

Practice addresses (Care Compare)

1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6811

1320 E M
Suite 32
Gaylord, MI 49735-8378
Phone (989) 731-5092

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

Hospital & facility affiliations

  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704265608MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Oct 12, 2017 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Oct 12, 2017 Accepting new patients
Pulmonary & Critical Care Medicine Consultants PC CurrentSince Jun 27, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Jan 1, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Jan 1, 2025 Accepting new patients
Ih Physician Services, PC CurrentSince Oct 20, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Ih Physician Services PC CurrentSince Oct 20, 2025 Accepting new patients
Springfield Urgent Care, P.L.L.C. CurrentSince Sep 1, 2021 Accepting new patients
Storm Chiropractic, Inc PastSince Jul 23, 2016 Accepting new patients

Locations

9749 Dixie Hwy
Ste B
Clarkston, MI 48348
Phone (248) 942-5888

5701 Bow Pointe Dr
Ste 365
Clarkston, MI 48346
Phone (248) 922-9283

1 William Carls Dr
#250
Commerce Twp, MI 48382
Phone (248) 652-2708

3220 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 208-7470

1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400

695 Kenmoor Ave SE
Ste B1
Grand Rapids, MI 49546
Phone (616) 438-9902

2116 S Milford Rd
Highland, MI 48357
Phone (248) 942-5888

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

4000 Eastern Sky Dr
Ste 2A
Traverse City, MI 49684
Phone (231) 715-3241

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Organizations & group practices 12

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1093166340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301374",
            "telephone_number": "810-208-7470",
            "fax_number": "810-208-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301374",
            "telephone_number": "810-208-7470",
            "fax_number": "810-208-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704265608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.