Active NPI
Jennifer Hogan
- Family Nurse Practitioner
- Fenton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704265608
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- McLaren Central Michigan
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
- Munson Healthcare Otsego Memorial Hospital
- McLaren Central Michigan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704265608 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Pulmonary & Critical Care Medicine Consultants PC | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Ih Physician Services, PC | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Ih Physician Services PC | Current | Accepting new patients | |
| Springfield Urgent Care, P.L.L.C. | Current | Accepting new patients | |
| Storm Chiropractic, Inc | Past | 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1033638077
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Clinton Township, MI
- NPI 1881432060
-
- Pulmonary Disease Physician
- Clarkston, MI
- NPI 1851330773
-
- Urgent Care Clinic/Center
- Clarkston, MI
- NPI 1144747460
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Family Medicine Physician
- Mount Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1770469389
-
- Chiropractor
- Howell, MI
- NPI 1568802544
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.