Individual provider Active NPI

Jodi L Greenfield, DO

  • Family Medicine Physician
  • Bark River, MI
National Provider Identifier
1316956345
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013039 Issued in MI
Practice address
6285 E.5 Rd
Bark River, MI 49807-9544
Phone
(906) 280-8142
NPI assigned
Aug 7, 2006
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013039 MI Primary

Addresses

Primary practice location

6285 E.5 Rd
Bark River, MI 49807-9544

Mailing address

6285 E.5 Rd
Bark River, MI 49807-9544
Phone (906) 280-8142

Other identifiers 2

IdentifierTypeStateIssuer
4140903MedicaidMI
080144817OtherMIRR MEDICARE GROUP#CC2139

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000605 MI Practitioner - Family Practice 8123157153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101013039MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Family Medicine CurrentSince Oct 27, 1999 Accepting new patients
St. Francis Hospital Current Accepting new patients
St Francis Hospital CurrentSince Oct 27, 1999 Accepting new patients
St Francis Hospital Past Accepting new patients

Locations

126 S 25th St
#B
Escanaba, MI 49829
Phone (906) 233-9500

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471

Organizations & group practices 4

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1316956345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 E.5 RD",
            "city": "BARK RIVER",
            "state": "MI",
            "postal_code": "498079544",
            "telephone_number": "906-280-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 E.5 RD",
            "city": "BARK RIVER",
            "state": "MI",
            "postal_code": "498079544",
            "telephone_number": "906-280-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "JODI",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4140903",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#CC2139",
            "identifier": "080144817",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bark River, MI

Sources for this page

Verify at the official NPI Registry.