Individual provider Active NPI

Jennifer Crosby

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1154778835
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704289730 Issued in MI
Practice address
1409 S Graham Rd
Flint, MI 48532-3538
Phone
(810) 235-2599
Fax
(810) 235-2836
NPI assigned
May 23, 2016
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704289730 MI Primary

Addresses

Primary practice location

1409 S Graham Rd
Flint, MI 48532-3538

Mailing address

1409 S Graham Rd
Flint, MI 48532-3538
Phone (810) 235-2599

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
I20161101001462 MI Practitioner - Nurse Practitioner 5991083602 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704289730MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Urgent Care PC CurrentSince Nov 1, 2016 Accepting new patients
Mt Morris Medical Group PLLC Current Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Apr 14, 2018 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Apr 14, 2018 Accepting new patients
Royal Urgent Care, PLLC CurrentSince Apr 14, 2018 Accepting new patients
First Choice Urgent Care PC PastSince Apr 14, 2018 Accepting new patients

Locations

1409 S Graham Rd
Flint, MI 48532
Phone (810) 235-2599

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14581/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.crosby.1@14581.direct.athenahealth.com
  • Direct secure messaging: jennifer.crosby.1@15405.direct.athenahealth.com

Organizations & group practices 7

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1154778835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S GRAHAM RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323538",
            "telephone_number": "810-235-2599",
            "fax_number": "810-235-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S GRAHAM RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323538",
            "telephone_number": "810-235-2599",
            "fax_number": "810-235-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704289730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.