Individual provider Active NPI

Jenna Larkins

  • Nurse Practitioner
  • Brighton, MI
National Provider Identifier
1134581994
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704263873 Issued in MI
Practice address
8680 W Grand River Ave
Brighton, MI 48116-2327
Phone
(810) 227-5008
NPI assigned
Mar 22, 2016
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704263873 MI Primary

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

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
I20160802002766 MI Practitioner - Nurse Practitioner 5991003246 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
LTC Physician Care PCGroup PAC ID 8224496575, 17 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 14, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
The Care Team-Primary Care Providers PLLC CurrentSince May 9, 2023 Accepting new patients
LTC Physician Care PC CurrentSince Aug 14, 2023 Accepting new patients
Wellbridge of Clarkston, LLC Past 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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1134581994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 W GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162327",
            "telephone_number": "810-227-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 W GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162327",
            "telephone_number": "810-227-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKINS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704263873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.