Jillian Rodney, AGPCNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2015021434 Issued in MI

Practice address

611 W Belle Ave
Saint Charles, MI 48655-1611

Phone

(989) 865-9958

Fax

(989) 865-8099

NPI assigned

Feb 16, 2016

Last updated

Feb 7, 2019By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shattuck Family Physicians PLLCGroup PAC ID 4486949807, 16 clinicians

St Charles Family Clinic PLLCGroup PAC ID 8527358035, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Care Team Home health agency, Saginaw, MI, CCN 239226
• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4
• Direct secure messaging: jillian.rodney.1@17511.direct.athenahealth.com
• Direct secure messaging: jillian.rodney.1@20296.direct.athenahealth.com

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.

• Shattuck Family Physicians PLLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1801251194
  Medicare reassignment Care Compare group NPD
• St. Charles Family Clinic PLLC

  • Family Medicine Physician
  • Saint Charles, MI
  • NPI 1669837993
  Medicare reassignment Care Compare group NPD
• Caro Health Plaza PLC

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1659326395
  Medicare reassignment NPD
• Saginaw Valley Walk in Clinic, PLLC

  dba Saginaw Valley Medical Care

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1770883738
  Medicare reassignment NPD
• Caro Health Plaza PLC

  • Rural Health Clinic/Center
  • Caro, MI
  • NPI 1689022469
  NPD
• Advanced House Calls, LLC

  dba Advanced Management House Calls, LLC

  • Adult Medicine Physician
  • Highland, MI
  • NPI 1972974806
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation
• Great Lakes Home Health Care Agency, LLC

  dba The Care Team

  • Home Health Agency
  • Saginaw, MI
  • NPI 1497069173
  Care Compare affiliation
• Memorial Hospital

  dba Memorial Healthcare

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1205295573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W BELLE AVE",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551611",
            "telephone_number": "989-865-9958",
            "fax_number": "989-865-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W BELLE AVE",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551611",
            "telephone_number": "989-865-9958",
            "fax_number": "989-865-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 Hallmark Ct",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486094800",
            "country_code": "US",
            "telephone_number": "989-790-1275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3073 Churchhill Ln Apt 1",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486034310",
            "country_code": "US",
            "telephone_number": "989-860-0088",
            "fax_number": "989-791-3859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Boardwalk Dr",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032324",
            "country_code": "US",
            "telephone_number": "989-791-3888",
            "fax_number": "989-791-3859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 W Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239686",
            "country_code": "US",
            "telephone_number": "989-671-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODNEY",
        "first_name": "JILLIAN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "2015021434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Martin, NP
• Meagen Mateialona, BS, MS, DC
• Hailey McGregor
• Real Mental Health Therapy
• Christine Rivera
• Ronald L Gonzales MD PLLC
• Nathan R Schramm
• St Charles Pharmacy LLC (Healthway Pharmacy)
• St. Charles Family Clinic PLLC
• St. Charles Family Dentistry

• Nurse Practitioner in Saint Charles, MI
• Providers in Saint Charles, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.