Individual provider Active NPI

Jeremy Richard Herr, MS, FNP, APNP

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1164731535
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704314515 Issued in MI
Practice address
770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Phone
(616) 272-3533
Fax
(616) 259-4839
NPI assigned
Oct 1, 2010
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704314515 MI
Family Nurse Practitioner 363LF0000X 4211-33 WI
Family Nurse Practitioner 363LF0000X 3920511 MI
Family Nurse Practitioner 363LF0000X 4704314515 MI Primary
Registered Nurse 163W00000X 3903890 MI
Registered Nurse 163W00000X 154692-030 WI

Addresses

Primary practice location

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Other identifiers 1

IdentifierTypeStateIssuer
0D16078176OtherMIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151016000074 MI Practitioner - Nurse Practitioner 2163602863 Reassigns benefits to 6 organizations
I20240328002009 OH Practitioner - Nurse Practitioner 2163602863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northview Health Specialists, PLLCGroup PAC ID 9638422835, 24 clinicians

Practice addresses (Care Compare)

770 Kenmoor Ave SE
Suite 100
Grand Rapids, MI 49546-8602
Phone (616) 272-3533

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3903890MIMDRegistered Nurse
154692-030WIMDRegistered Nurse
3920511MIMDFamily Nurse Practitioner
4211-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Jan 23, 2026 Accepting new patients
Careline Pin100 LLC CurrentSince Jan 3, 2024 Accepting new patients
Careline Poh100 LLC CurrentSince Jan 3, 2024 Accepting new patients
Northview Medical House Calls PLC CurrentSince Sep 20, 2023 Accepting new patients
Careconnectmd Michigan PC CurrentSince Jul 31, 2023 Accepting new patients
Northview Health Specialists, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Careline Hmi300 LLC CurrentSince Sep 1, 2021 Accepting new patients
Careline Palliative Care LLC CurrentSince Aug 26, 2020 Accepting new patients
Metropolitan Hospital CurrentSince Nov 1, 2015 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Careline Hin100 LLC PastSince Oct 17, 2021 Accepting new patients
Harpal S Jande MD PC PastSince Jun 15, 2021 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

600 E Carmel Dr
Ste 100
Carmel, IN 46032
Phone (317) 762-8194

600 E Carmel Dr
Ste 144
Carmel, IN 46032
Phone (317) 349-7015

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 432-0682

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

103 S Jackson St
Ste 200
Jackson, MI 49201
Phone (517) 212-2008

113 W Michigan Ave
Ste 102
Jackson, MI 49201
Phone (517) 212-9000

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

985 Gezon Pkwy SW
Wyoming, MI 49509

3550 Briarfield Blvd
Ste 300
Maumee, OH 43537
Phone (419) 452-2140

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1164731535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468602",
            "telephone_number": "616-272-3533",
            "fax_number": "616-259-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "JEREMY",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MS, FNP, APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704314515",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4211-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "3920511",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704314515",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "3903890",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "154692-030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0D16078176",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.