Individual provider Active NPI

Jennifer C Riske, FNP-BC PMHNP-BC

  • Family Nurse Practitioner
  • Whitmore Lake, MI
National Provider Identifier
1245991314
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704248873 Issued in MI
Practice address
10 Jennings Rd
Whitmore Lake, MI 48189-9410
Phone
(734) 257-9100
Fax
(734) 257-9099
NPI assigned
Dec 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704248873 MI
Family Nurse Practitioner 363LF0000X 4704248873 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704248873 MI

Addresses

Primary practice location

10 Jennings Rd
Whitmore Lake, MI 48189-9410

Mailing address

10 Jennings Rd
Whitmore Lake, MI 48189-9410
Phone (734) 257-9100

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
I20240126000386 MI Practitioner - Nurse Practitioner 7719330752 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704248873MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Feb 5, 2024 Accepting new patients

Locations

G3373 S Saginaw St
Burton, MI 48529
Phone (810) 743-6830

4154 W Vienna Rd
Clio, MI 48420
Phone (810) 686-3747

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

10 Jennings Rd
Whitmore Lake, MI 48189
Phone (734) 257-9100

Interoperability endpoints

  • Direct secure messaging: jennifer.riske.1@25862.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1245991314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JENNINGS RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899410",
            "telephone_number": "734-257-9100",
            "fax_number": "734-257-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JENNINGS RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899410",
            "telephone_number": "734-257-9100",
            "fax_number": "734-257-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "FNP-BC PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704248873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704248873",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704248873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitmore Lake, MI

Sources for this page

Verify at the official NPI Registry.