Jacob Newell

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704384619NSA250PU Issued in MI

Practice address

2945 Mountain VW Apt 202
Lake Orion, MI 48360-2606

Phone

(267) 393-6671

NPI assigned

Sep 1, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.newell.1@30302.direct.athenahealth.com

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.

• Healing Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterford, MI
  • NPI 1497470975
  Medicare reassignment NPD
• Genuine Solutions Counseling Center

  • Substance Abuse Rehabilitation Facility
  • Waterford, MI
  • NPI 1588979876
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1184503245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 MOUNTAIN VW APT 202",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602606",
            "telephone_number": "267-393-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 MOUNTAIN VW APT 202",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602606",
            "telephone_number": "267-393-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704384619NSA250PU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Natavio, CRNA
• Mariana Navarro-Montoya
• Neighborhood Primary Care PLLC
• Christine Nelson, RPH
• New Generation Transportation Services, LLC
• Brooklyn Newingham
• Pina Sandra Newman, LLPC
• Tracy Ann Nicholson
• Amanda Norrow, OT
• North Oakland Anxiety Center, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.