Jennifer Andres, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704189301 Issued in MI

Practice address

1900 S Telegraph Rd Ste 102
Bloomfield Township, MI 48302-0238

Phone

(248) 302-0473

Fax

(248) 792-0345

NPI assigned

Oct 10, 2015

Last updated

May 22, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1444435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1255702759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-302-0473",
            "fax_number": "248-792-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-302-0473",
            "fax_number": "248-792-0345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2544 McLeod Dr N Ste 2",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042854",
            "country_code": "US",
            "telephone_number": "248-302-0473",
            "fax_number": "248-792-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-10",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704189301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F06151445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Alexander, PT
• Mohammad Azhar Ali, MD
• Alison Orley LMSW PLLC
• Anne D. Dunlop LMSW PLLC
• Jerry Avrum Appel, DO
• Tara Mary Aziz, MD
• Timothy Patrick Baessler, D.P.M.
• Frederick D Bartholomew, MD

• Family Nurse Practitioner in Bloomfield Township, MI
• Providers in Bloomfield Township, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.