Jenny Scroggie, MSN, APRN, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704266289NSA200N7 Issued in MI

Practice address

26677 W 12 Mile Rd Ste 166
Southfield, MI 48034-1514

Phone

(313) 306-2023

NPI assigned

Dec 17, 2020

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Northstar Palliative Care IncGroup PAC ID 6800148677, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jscroggie@landmarkhealth-direct.org

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.

• Northstar Palliative Care Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ann Arbor, MI
  • NPI 1033638077
  Medicare reassignment Care Compare group NPD
• Ohio Living Palliative Care Greater Toledo LLC

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1861981656
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1194311662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 HEALTH PARK LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853421",
            "telephone_number": "269-429-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26677 W 12 MILE RD STE 166",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341514",
            "telephone_number": "313-306-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 Health Park Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490853421",
            "country_code": "US",
            "telephone_number": "269-429-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2366 Oak Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481038944",
            "country_code": "US",
            "telephone_number": "877-227-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCROGGIE",
        "first_name": "JENNY",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0028077",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704266289NSA200N7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicorya Scott, NURSE PRACTITIONER
• Tara Long Scott, D.P.M.
• Tonya Scott, NP
• Tyiesha Scott
• Robert Eugene Scribner III, MSN, NP-C
• Eleanore Sculati, LLMSW
• John W Sealey, D.O.
• Darrell Duwuan Seals
• Kennedi Seals, PA-C
• Natasha Seaman

• Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.