Individual provider Active NPI

Jennifer Michelle Fierens, FNP

  • Family Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1205184017
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704172353 Issued in MI
Practice address
31360 Bingham Rd
Bingham Farms, MI 48025-4336
Phone
(586) 872-5912
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704172353 MI Primary

Addresses

Primary practice location

31360 Bingham Rd
Bingham Farms, MI 48025-4336

Mailing address

31360 Bingham Rd
Bingham Farms, MI 48025-4336
Phone (586) 872-5912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704172353MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Aug 9, 2013 Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Jul 1, 2021 Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Jul 1, 2021 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Aug 9, 2013 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

19000 St Joes Pkwy
Ste 210
Livonia, MI 48152
Phone (734) 655-8250

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

32932 Warren Rd
Ste 100
Westland, MI 48185
Phone (734) 398-0600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1205184017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31360 BINGHAM RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254336",
            "telephone_number": "586-872-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31360 BINGHAM RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254336",
            "telephone_number": "586-872-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERENS",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704172353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.