Jessica Meadors

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704300072 Issued in MI

Practice address

5105 W Bristol Rd
Flint, MI 48507-7147

Phone

(810) 733-0822

NPI assigned

Aug 15, 2019

Last updated

Aug 27, 2020By 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 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• D Fertel DO PC

  • Surgery Physician
  • Westland, MI
  • NPI 1518080126
  Medicare reassignment NPD
• Hospice Advantage, LLC

  dba Compassus - Lansing

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lansing, MI
  • NPI 1053912592
  Medicare reassignment NPD
• Main Street Dermatology, PLLC

  • Dermatology Physician
  • Clarkston, MI
  • NPI 1881371946
  Medicare reassignment NPD
• Transitional Care Services, LLC

  dba HomeMD Housecall Services

  • Gerontology Nurse Practitioner
  • Waterford, MI
  • NPI 1174976807
  Medicare reassignment NPD
• Hospice Advantage, LLC

  dba Compassus - Charleston

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Ridgeland, SC
  • NPI 1982416814
  NPD
• Home MD PLLC

  • Adult Medicine Physician
  • Waterford, MI
  • NPI 1407747215
  NPD (past)
• Thi of Michigan at Detroit, LLC

  dba Hospice Compassus - Detroit

  • Community Based Hospice Care Agency
  • Farmington Hills, MI
  • NPI 1114014305
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1306492350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485077147",
            "telephone_number": "810-733-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485077147",
            "telephone_number": "810-733-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADORS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704300072",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704300072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Luckado McReynolds, M.A.LPC
• Mary McVittie
• Mdo Imaging Associates PLC
• Nichole Rae Mead-Hall, MA LLP
• Carol Ann Mead, LLPC
• Kendall Mears
• Med Tech Rehabilitation Inc
• Med-Scan Inc
• Med-Scan, Inc
• Med-Scan, Inc

• Family Nurse Practitioner in Flint, MI
• Providers in Flint, 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 Aug 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.