Individual provider Active NPI

Deenah Cavill, FNP-BC

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1174012595
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704273202 Issued in MI
Practice address
3305 Spring Arbor Rd Ste 200
Jackson, MI 49203-3995
Phone
(517) 205-1285
Fax
(313) 876-1305
NPI assigned
May 2, 2018
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704273202 MI Primary
Registered Nurse 163W00000X 4704273202 MI

Addresses

Primary practice location

3305 Spring Arbor Rd Ste 200
Jackson, MI 49203-3995

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 999-5829

Other practice location 1

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-7655

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
I20190124000087 MI Practitioner - Nurse Practitioner 5991042251 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihp Hospital Medicine - Jackson PLLCGroup PAC ID 3173961372, 50 clinicians

Practice addresses (Care Compare)

1201 E Michigan Ave
Suite 201
Jackson, MI 49201-1852
Phone (517) 788-4841

205 N E Ave
Jackson, MI 49201-1753
Phone (248) 536-2127

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704273202MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ihp Hospital Medicine - Jackson PLLC CurrentSince Dec 1, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Feb 4, 2019 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Feb 4, 2019 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Sep 23, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
Independent Observation Physicians PLLC CurrentSince Dec 1, 2024 Accepting new patients
Independent Hospitalist Physicians, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Iep Observation Medicine - Jackson PLLC CurrentSince Dec 1, 2024 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1201 E Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 788-4841

1201 E Michigan Ave
Ste 240
Jackson, MI 49201
Phone (517) 205-1591

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

3305 Spring Arbor Rd
Ste 200
Jackson, MI 49203
Phone (517) 205-1285

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

879 E Michigan Ave
Marshall, MI 49068
Phone (269) 781-4251

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: dcavill453189@direct.hfhs.org

Organizations & group practices 9

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1174012595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "800-999-5829",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SPRING ARBOR RD STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033995",
            "telephone_number": "517-205-1285",
            "fax_number": "313-876-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVILL",
        "first_name": "DEENAH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704273202",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704273202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.