Jenna Abbas Gebara, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704363430 Issued in MI

Practice address

7637 W Morrow Cir
Dearborn, MI 48126-1154

Phone

(313) 641-1001

NPI assigned

Dec 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• MVP Endovascular Center PLLC

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1194202234
  Medicare reassignment NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1093426652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7637 W MORROW CIR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261154",
            "telephone_number": "313-641-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7637 W MORROW CIR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261154",
            "telephone_number": "313-641-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBARA",
        "first_name": "JENNA",
        "middle_name": "ABBAS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704363430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jagebara@umich.edu",
            "affiliation": "N",
            "address_1": "7637 W Morrow Cir",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481261154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Journee Elizabeth Gautz
• Gayle Gozdor, PH.D. P.C.
• Alexa Gazda, DPT
• GD Mi J&G-Dearborn PLLC
• Corey Michael Gearhat
• Caitlin Gedris
• Alexis Kristen Gee-Ryckman
• Zakiya Gee
• Mariya Gefter
• Janki Gehi, M.D.

• Family Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, 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 Dec 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.