Jenna Larkins
Individual provider Active NPI Nurse Practitioner · Brighton, MI
NPI 1134581994 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1134581994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704263873 (MI)
- Practice address
- 8680 W Grand River Ave
Brighton, MI 48116-2327 - Phone
- (810) 227-5008
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Complexcare Medical Group Midwest H PLLC
Theoria Medical
LTC Physician Care PC
Practice addresses (Care Compare)
512 Beach St
Fenton, MI 48430-3122
Phone (810) 629-4117
8380 Geddes Rd
Superior TWP, MI 48198-9404
Phone (248) 621-0370
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160802002766 | MI | Practitioner - Nurse Practitioner | 5991003246 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704263873 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current |
Accepting new patients |
| LTC Physician Care PC | Current |
Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current |
Accepting new patients | |
| The Care Team-Primary Care Providers PLLC | Current |
Accepting new patients |
Locations
414 E State St
Belding, MI 48809
Phone (616) 619-7833
18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500
2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900
400 Jeffrey St
Cedar Springs, MI 49319
Phone (616) 696-0170
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
535 N Main St
Clawson, MI 48017
Phone (248) 435-5200
17001 17 Mile Rd
Clinton Twp, MI 48038
Phone (586) 286-7100
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
30600 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 957-1999
512 Beach St
Fenton, MI 48430
Phone (810) 629-4117
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
1095 Medical Park Dr SE
Grand Rapids, MI 49546
Phone (616) 588-9210
3400 Wilson Ave SW
Grandville, MI 49418
Phone (616) 534-5487
13030 Commercial St
Lamont, MI 49430
Phone (616) 677-1243
31155 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 585-7010
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
11525 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-0700
2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200
8380 Geddes Rd
Ypsilanti, MI 48198
Phone (734) 547-7600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704263873 | MI | Yes |
Addresses
Primary practice location
8680 W Grand River Ave
Brighton, MI 48116-2327
Mailing address
8680 W Grand River Ave
Brighton, MI 48116-2327
Phone (810) 227-5008
Other providers in Brighton, MI
- Carolyn Lapan
- Jamie Laramore
- Krysten Lardie
- Amie Suzanne Larison
- April Lark
- Madison Rylie Larson
- Helen Lask
- Rakesh Latchamsetty
- Lauren Garleff, Licensed Speech-Language Pathologist CCC-SLP, PLLC
- Lauren Lobert Physical Therapy LLC
All providers in Brighton, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.