Individual provider Active NPI

Jeanette Marie Meyer, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Kalamazoo, MI
National Provider Identifier
1184646515
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
4301059007 Issued in MI
Practice address
348 N Burdick St
Kalamazoo, MI 49007-3830
Phone
(269) 343-1396
Fax
(269) 382-8006
NPI assigned
Jul 24, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301059007 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301059007 MI
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4301059007 MI Primary

Addresses

Primary practice location

348 N Burdick St
Kalamazoo, MI 49007-3830

Mailing address

348 N Burdick St
Kalamazoo, MI 49007-3830
Phone (269) 343-1396

Other identifiers 1

IdentifierTypeStateIssuer
4859215MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wings of Hope Hospice and Palliative Care, Inc. PastSince Aug 20, 2015 Accepting new patients
Summit Pointe Past Accepting new patients

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1184646515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 N BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073830",
            "telephone_number": "269-343-1396",
            "fax_number": "269-382-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 N BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073830",
            "telephone_number": "269-343-1396",
            "fax_number": "269-382-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059007",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301059007",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301059007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4859215",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.