Jane Ballard, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Pigeon, MI
NPI 1194532150 · NPPES record last updated Dec 13, 2024
Key facts
- NPI
- 1194532150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704354192NSA240XD (MI)
- Practice address
- 135 N Caseville Rd
Pigeon, MI 48755-9704 - Phone
- (989) 453-3798
- NPI assigned
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250327000612 | MI | Practitioner - Nurse Practitioner | 6305369679 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704354192 | MI | MD | Ambulatory Care Registered Nurse |
| 4704354192NSA240XD | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Current |
Accepting new patients | |
| Scheurer Hospital | Current |
Accepting new patients | |
| Scheurer Hospital | Current | Accepting new patients | |
| Scheurer Hospital | Current | Accepting new patients | |
| Scheurer Hospital | Current |
Accepting new patients | |
| Scheurer Hospital | Past | Accepting new patients | |
| Scheurer Hospital | Past | Accepting new patients | |
| Scheurer Hospital | Past | Accepting new patients | |
| Scheurer Hospital | Past | Accepting new patients |
Locations
75 Buschlen Rd
Bad Axe, MI 48413
Phone (989) 453-7301
135 N Caseville Rd
Ste B
Pigeon, MI 48755
Phone (989) 453-3798
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
135 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301
135 N Caseville Rd
Ste A
Pigeon, MI 48755
Phone (989) 453-3798
168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141
Interoperability endpoints
- jballard151359@direct.covenanthealthcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 4704354192 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704354192NSA240XD | MI | Yes |
Addresses
Primary practice location
135 N Caseville Rd
Pigeon, MI 48755-9704
Mailing address
6100 Milligan Rd
Cass City, MI 48726-9402
Phone (989) 912-0661
Other practice location 1
170 N Caseville Rd
Pigeon, MI 48755-9781
Phone (989) 453-3223
Other providers in Pigeon, MI
- A Change of Seasons Hospice, Inc.
- ABA Services of the Thumb
- Accurate Radiology, P.C.
- Atul C Agrawal
- Paul Ariagno
- Lois Booms
- Karen Buck
- Douglas Arthur Buehler
- Liberty Hope Cloutier
- Sudha R Damidi
All providers in Pigeon, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.