Individual provider Active NPI

Jenelle Devenney, DC

  • Chiropractor
  • Hillsdale, MI
National Provider Identifier
1093318040
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301011024 Issued in MI
Practice address
79 Hillsdale St
Hillsdale, MI 49242-1208
Phone
(517) 439-9800
Fax
(517) 439-1230
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301011024 MI Primary

Addresses

Primary practice location

79 Hillsdale St
Hillsdale, MI 49242-1208

Mailing address

79 Hillsdale St
Hillsdale, MI 49242-1208
Phone (517) 439-9800

Other identifiers 1

IdentifierTypeStateIssuer
2301011024OtherMISTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hillsdale Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207000867 MI Practitioner - Chiropractic 2567874050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsdale Family Chiropractic LLCGroup PAC ID 7719289362, 4 clinicians

Practice addresses (Care Compare)

79 Hillsdale St
Hillsdale, MI 49242-1208
Phone (517) 439-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Family Chiropractic LLC Chiropractor CurrentSince Nov 20, 2020 Accepting new patients

Locations

79 Hillsdale St
Hillsdale, MI 49242
Phone (517) 439-9800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1093318040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HILLSDALE ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421208",
            "telephone_number": "517-439-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HILLSDALE ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421208",
            "telephone_number": "517-439-9800",
            "fax_number": "517-439-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENNEY",
        "first_name": "JENELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2301011024",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hillsdale",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hillsdale",
            "address_1": "79 Hillsdale St",
            "city": "Hillsdale",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492421208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.

Verify at the official NPI Registry.