Individual provider Active NPI

Lisa Levone Jones, FNP

  • Primary Care Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1124651047
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704327619 Issued in MI
Practice address
23900 Orchard Lake Rd Ste 150
Farmington Hills, MI 48336-2500
Phone
(248) 473-9429
Fax
(248) 473-9200
NPI assigned
Feb 19, 2020
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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 4704327619 MI
Primary Care Nurse Practitioner 363LP2300X 4704327619 MI Primary

Addresses

Primary practice location

23900 Orchard Lake Rd Ste 150
Farmington Hills, MI 48336-2500

Mailing address

25461 Saint James
Southfield, MI 48075-1287
Phone (248) 943-7370

Other practice location 1

30500 Van Dyke Ave
Warren, MI 48093-2195
Phone (248) 480-9066

Other practice location 2

19141 Greenfield Rd
Detroit, MI 48235-6007
Phone (313) 909-5488

Other practice location 3

8282 Woodward Ave
Detroit, MI 48202-2532
Phone (313) 874-3440

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
I20230411002821 MI Practitioner - Nurse Practitioner 1254706955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medicine PCGroup PAC ID 3971582685, 12 clinicians

Practice addresses (Care Compare)

20280 Middlebelt Rd
Livonia, MI 48152-2002
Phone (248) 987-1250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704327619MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medicine PC CurrentSince Dec 13, 2023 Accepting new patients
Joyful Hearts Home Care-LLC CurrentSince Jan 15, 2023 Accepting new patients
Omt Mi PC CurrentSince Jan 10, 2024 Accepting new patients
Simmons Medical Group South Inc Past Accepting new patients
Wayne Kidney Specialist PLC PastSince Dec 13, 2023 Accepting new patients
Ark Cardiovascular & Arrhythmia Center PLC Past Accepting new patients

Locations

9550 Dix
Dearborn, MI 48120
Phone (313) 438-5158

9824 Conant St
Hamtramck, MI 48212
Phone (313) 285-9766

20280 Middlebelt Rd
Livonia, MI 48152
Phone (248) 987-1250

20280 Middlebelt Rd
Ste 500
Livonia, MI 48152
Phone (248) 987-1270

20290 Middlebelt Rd
Livonia, MI 48152
Phone (248) 987-1250

38525 8 Mile Rd
Livonia, MI 48152
Phone (734) 464-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16805/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisa.jones.1@16805.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1124651047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25461 SAINT JAMES",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751287",
            "telephone_number": "248-943-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 ORCHARD LAKE RD STE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362500",
            "telephone_number": "248-473-9429",
            "fax_number": "248-473-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30500 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932195",
            "country_code": "US",
            "telephone_number": "248-480-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19141 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482356007",
            "country_code": "US",
            "telephone_number": "313-909-5488",
            "fax_number": "313-835-3081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8282 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022532",
            "country_code": "US",
            "telephone_number": "313-874-3440",
            "fax_number": "313-874-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LISA",
        "middle_name": "LEVONE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704327619",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704327619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.