Individual provider Active NPI

Jeanine Rose Ursing, NP-C

  • Primary Care Nurse Practitioner
  • Brownstown TWP, MI
National Provider Identifier
1275815235
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704266652 Issued in MI
Practice address
19725 Allen Rd
Suite 101
Brownstown TWP, MI 48183-1090
Phone
(734) 479-2371
NPI assigned
Sep 15, 2011
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704266652 MI Primary

Addresses

Primary practice location

19725 Allen Rd
Suite 101
Brownstown TWP, MI 48183-1090

Mailing address

19725 Allen Rd
Ste 101
Brownstown TWP, MI 48183-1090
Phone (313) 971-8931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Solutions Group, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

123 S Main St
Ste 260
Royal Oak, MI 48067
Phone (248) 556-4450

Interoperability endpoints

  • Direct secure messaging: jursing301759@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1275815235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD",
            "address_2": "STE 101",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831090",
            "telephone_number": "313-971-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD",
            "address_2": "SUITE 101",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831090",
            "telephone_number": "734-479-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSING",
        "first_name": "JEANINE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704266652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.