Individual provider Active NPI

Jacqueline F Witters, D.O.

  • Obstetrics & Gynecology Physician
  • Haslett, MI
National Provider Identifier
1144561317
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101020481 Issued in MI
Practice address
1650 Haslett Rd
Haslett, MI 48840-7615
Phone
(517) 853-5576
Fax
(517) 853-5577
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5101020481 MI Primary

Addresses

Primary practice location

1650 Haslett Rd
Haslett, MI 48840-7615

Mailing address

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271
Phone (517) 374-7600

Other practice location 1

401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone (269) 271-1404

Other practice location 2

111 Lansing St Ste 200
Charlotte, MI 48813-2400
Phone (517) 541-5882

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
I20170804000582 MI Practitioner - Obstetrics/Gynecology 2860763141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Internal Medicine Associates P.C.Group PAC ID 8022097963, 64 clinicians
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

1650 Haslett Rd
Suite 1
Haslett, MI 48840-7615
Phone (517) 339-3200

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7575

3220 Discovery Dr
Suite 200
Lansing, MI 48910-8556
Phone (517) 975-8910

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020481MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Obstetrics & Gynecology CurrentSince Dec 4, 2017 Accepting new patients
McLaren Greater Lansing CurrentSince Dec 4, 2017 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Capital Internal Medicine Associates P.C. CurrentSince Sep 11, 2017 Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

111 Lansing St
Ste 200
Charlotte, MI 48813
Phone (517) 541-5882

12805 Escanaba Dr
Ste 2
Dewitt, MI 48820
Phone (517) 367-5520

1650 Haslett Rd
Ste 1
Haslett, MI 48840
Phone (517) 339-3200

1650 Haslett Rd
Haslett, MI 48840
Phone (517) 339-3200

3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

3220 Discovery Dr
Ste 200
Lansing, MI 48910
Phone (517) 975-8910

Interoperability endpoints

  • Direct secure messaging: jacqueline.witters@cimamed.eclinicaldirectplus.com

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 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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144561317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488407615",
            "telephone_number": "517-853-5576",
            "fax_number": "517-853-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Greenlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489102819",
            "country_code": "US",
            "telephone_number": "269-271-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Lansing St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488132400",
            "country_code": "US",
            "telephone_number": "517-541-5882",
            "fax_number": "517-983-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTERS",
        "first_name": "JACQUELINE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101020481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.