Individual provider Active NPI

Jacquelyn Austin Robinson, M.D.

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
National Provider Identifier
1144490590
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301087935 Issued in MI
Practice address
926 N Michigan Ave
Saginaw, MI 48602-4323
Phone
(989) 753-8453
Fax
(989) 753-3519
NPI assigned
Mar 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301087935 MI Primary

Addresses

Primary practice location

926 N Michigan Ave
Saginaw, MI 48602-4323

Mailing address

4154 S Paul Cir
Bay City, MI 48706-2285
Phone (989) 506-7940

Other identifiers 1

IdentifierTypeStateIssuer
1144490590MedicaidMI

Other names 1

  • Dr. Jackie Austin Robinson Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000227 MI Practitioner - Obstetrics/Gynecology 8224220173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley OB GYN Clinic PCGroup PAC ID 6002803871, 10 clinicians

Practice addresses (Care Compare)

926 N Michicgan Ave
Saginaw, MI 48602-4323
Phone (517) 753-8453

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospital Inc CurrentSince Aug 23, 2010 Accepting new patients
Valley OB GYN Clinic PC Obstetrics & Gynecology CurrentSince Aug 1, 2010 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospitals, Inc CurrentSince Aug 23, 2010 Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients

Locations

600 N Main St
Ste 220A
Frankenmuth, MI 48734
Phone (989) 652-1460

975 N Main St
Ste L
Frankenmuth, MI 48734
Phone (989) 753-8453

117 S Main St
Freeland, MI 48623
Phone (989) 753-8453

117 S Main St
Ste A
Freeland, MI 48623
Phone (989) 753-8453

926 N Michigan Ave
Saginaw, MI 48602
Phone (517) 753-8453

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20451/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jacquelyn.robinson.1@20451.direct.athenahealth.com
  • Direct secure messaging: jrobinson@valley-obgyn.gwaydirect.com

Organizations & group practices 6

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.

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": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1144490590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 S PAUL CIR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062285",
            "telephone_number": "989-506-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-753-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JACQUELYN",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301087935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144490590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "ROBINSON",
            "middle_name": "AUSTIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.