Individual provider Active NPI

Jill M. Wiergowski, P.A.

  • Physician Assistant
  • Howell, MI
National Provider Identifier
1194770008
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002932 Issued in MI
Practice address
620 Byron Rd
Howell, MI 48843-1002
Phone
(517) 545-5318
NPI assigned
May 23, 2006
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002932 MI Primary

Addresses

Primary practice location

620 Byron Rd
Howell, MI 48843-1002

Mailing address

291 Oak Island Dr
Wolverine Lake, MI 48390-2041
Phone (248) 931-0082

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.biediger@envisionhealth.com Direct

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
I20040612000412 MI Practitioner - Physician Assistant 1153304795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7555 Grand River Rd
Brighton, MI 48114-9338
Phone (810) 854-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jbiediger76892@direct.hurleymc.com

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.

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1194770008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 OAK ISLAND DR",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483902041",
            "telephone_number": "248-931-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "517-545-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERGOWSKI",
        "first_name": "JILL",
        "middle_name": "M.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.biediger@envisionhealth.com",
            "affiliation": "N",
            "endpointDescription": "envision health email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "291 Oak Island Dr",
            "city": "Wolverine Lake",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483902041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.