Jennifer Sampson, MSN, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704302893 Issued in MI

Practice address

601 Bridge St
East Jordan, MI 49727-9383

Phone

(231) 536-2206

NPI assigned

Oct 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Bohl Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kalkaska Memorial Health Center 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.sampson.p1@direct.ejfhc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Kalkaska Memorial Health Center

  • Family Medicine Physician
  • Kalkaska, MI
  • NPI 1013183060

  Family, MI

  Medicare reassignment Care Compare group NPD
• East Jordan Family Health Center

  • Federally Qualified Health Center (FQHC)
  • East Jordan, MI
  • NPI 1114958691

  MI

  Medicare reassignment NPD
• Kalkaska Memorial Health Center

  • Rural Health Clinic/Center
  • Kalkaska, MI
  • NPI 1306968102

  Nurse Practitioner

  Care Compare group NPD (past)
• Kalkaska Memorial Health Center

  • Rural Health Clinic/Center
  • Mancelona, MI
  • NPI 1275307670
  Care Compare group
• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare group
• Kalkaska Memorial Health Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kalkaska, MI
  • NPI 1891980306
  Care Compare group
• East Jordan Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Bellaire, MI
  • NPI 1376750091
  NPD
• Kalkaska Memorial Health Center

  • Skilled Nursing Facility
  • Kalkaska, MI
  • NPI 1164386652
  NPD
• Kalkaska Memorial Health Center

  • Family Medicine Physician
  • Mancelona, MI
  • NPI 1922870575
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309

  Hospital

  Care Compare affiliation
• Munson Healthcare Otsego Memorial Hospital

  • General Acute Care Hospital
  • Gaylord, MI
  • NPI 1124028972

  Hospital

  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1124530449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 SEELEY RD NW",
            "city": "RAPID CITY",
            "state": "MI",
            "postal_code": "496769535",
            "telephone_number": "989-573-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BRIDGE ST",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279383",
            "telephone_number": "231-536-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W State St",
            "address_purpose": "LOCATION",
            "city": "Mancelona",
            "state": "MI",
            "postal_code": "496599651",
            "country_code": "US",
            "telephone_number": "231-587-9181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JENNIFER",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704302893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in East Jordan, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.

Verify at the official NPI Registry.