Individual provider Active NPI

Jennifer Marie Blonde, NP

  • Family Nurse Practitioner
  • Jonesville, MI
National Provider Identifier
1134874449
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704322467 Issued in MI
Practice address
7098 Homer Rd
Jonesville, MI 49250-9109
Phone
(517) 320-4164
NPI assigned
Feb 15, 2022
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704322467 MI
Family Nurse Practitioner 363LF0000X 4704322467 MI Primary

Addresses

Primary practice location

7098 Homer Rd
Jonesville, MI 49250-9109

Mailing address

7098 Homer Rd
Jonesville, MI 49250-9109
Phone (517) 320-4164

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
I20240111003938 MI Practitioner - Nurse Practitioner 2769833912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

240 W Carleton Rd
Hillsdale Health and Wellness
Hillsdale, MI 49242-5034
Phone (517) 437-7040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704322467MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Community Health Center CurrentSince Jan 1, 2024 Accepting new patients
Hillsdale Community Health Center Past Accepting new patients
Hillsdale Community Health Center Past Accepting new patients

Locations

1456 Hudson Rd
Hillsdale, MI 49242
Phone (517) 439-0200

32 S Broad St
Hillsdale, MI 49242
Phone (517) 437-3361

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040

183 Hillsdale St
Hillsdale, MI 49242

Interoperability endpoints

  • Direct secure messaging: jblonde594380@direct.parkviewexchange.com

Organizations & group practices 3

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 1

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1134874449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7098 HOMER RD",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509109",
            "telephone_number": "517-320-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7098 HOMER RD",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509109",
            "telephone_number": "517-320-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704322467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704322467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

Verify at the official NPI Registry.