Individual provider Active NPI

Seok Barnett

  • Gerontology Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1205559655
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704271010 Issued in MI
Practice address
1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855
Phone
(517) 204-4841
Fax
(517) 205-5956
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704271010 MI Primary

Addresses

Primary practice location

1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

20822 Barola Dr
Northville, MI 48167-9380
Phone (248) 533-5814

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
I20230204000486 MI Practitioner - Nurse Practitioner 1052783800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 E Michigan Ave
200 Henry Ford Allegiance Pain Management C
Jackson, MI 49201-1855
Phone (517) 205-4841

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704271010MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Gerontology CurrentSince Mar 1, 2025 Accepting new patients
Great Health Medical Mi PC CurrentSince Jul 31, 2025 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Theoria Medical CurrentSince Jan 9, 2023 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 1, 2025 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

3011 N Center Rd
Flint, MI 48506
Phone (710) 736-0600

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1201 E Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 204-4841

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

Interoperability endpoints

  • Direct secure messaging: seok.barnett.1@28492.direct.athenahealth.com
  • Direct secure messaging: sbarnett787378@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1205559655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011855",
            "telephone_number": "517-204-4841",
            "fax_number": "517-205-5956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20822 Barola Dr",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481679380",
            "country_code": "US",
            "telephone_number": "248-533-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "SEOK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704271010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.