Individual provider Active NPI

Jamie Michelle Greenblatt, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Mason, MI
National Provider Identifier
1093340499
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704272868 Issued in MI
Practice address
230 Temple St
Mason, MI 48854-1851
Phone
(517) 676-9066
Fax
(517) 676-3505
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4704272868 MI
Family Nurse Practitioner 363LF0000X 4704272868 MI Primary

Addresses

Primary practice location

230 Temple St
Mason, MI 48854-1851

Mailing address

2796 Tomlinson Rd
Mason, MI 48854-9716
Phone (517) 604-0165

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
I20200430002671 MI Practitioner - Nurse Practitioner 6507296753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

1140 E Michigan Ave
100 Sparrow Cancer Center
Lansing, MI 48912-1806
Phone (517) 364-9402

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1140 E Michigan Ave
Ste 100
Lansing, MI 48912
Phone (517) 364-9402

1140 E Michigan Ave
Ste 200
Lansing, MI 48912
Phone (517) 364-9400

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

230 Temple St
Mason, MI 48854
Phone (517) 676-4545

Organizations & group practices 5

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 2

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1093340499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 TOMLINSON RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549716",
            "telephone_number": "517-604-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 TEMPLE ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541851",
            "telephone_number": "517-676-9066",
            "fax_number": "517-676-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "JAMIE",
        "middle_name": "MICHELLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704272868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704272868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.