Individual provider Active NPI

Jasmine Nicole Mays, NP-C

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1114579323
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704266845 Issued in MI
Practice address
1726 Howard St
Detroit, MI 48216-1921
Phone
(313) 832-3300
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704266845 MI
Family Nurse Practitioner 363LF0000X 4704266845 MI Primary

Addresses

Primary practice location

1726 Howard St
Detroit, MI 48216-1921

Mailing address

20059 Burt Rd
Detroit, MI 48219-1363
Phone (313) 478-4160

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
I20191217000069 MI Practitioner - Nurse Practitioner 6103250642 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704266845MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Emergency Assistance of Detroit CurrentSince Oct 7, 2019 Accepting new patients
Henry Ford Health System Nurse Practitioner CurrentSince Jul 27, 2022 Accepting new patients
Henry Ford Health System CurrentSince Jul 27, 2022 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

1726 Howard St
Detroit, MI 48216
Phone (313) 338-3740

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13014/brand/1/csg/41/fhir/r4
  • Direct secure messaging: jmays493315@direct.hfhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1114579323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20059 BURT RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191363",
            "telephone_number": "313-478-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 HOWARD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161921",
            "telephone_number": "313-832-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "JASMINE",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704266845",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704266845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.