Active NPI
Jaclyn Anne Korn, APRN
- Primary Care Nurse Practitioner
- Troy, MI
National Provider Identifier
1326699844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704278759
- Practice address
- 774 Sandalwood Dr
Troy, MI 48085-1644 - Phone
- (248) 535-1176
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704278759 | MI | Primary |
Addresses
Primary practice location
774 Sandalwood Dr
Troy, MI 48085-1644
Mailing address
774 Sandalwood Dr
Troy, MI 48085-1644
Phone (248) 535-1176
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4600 Investment Dr
Suite 300
Troy, MI 48098-6368
Phone 24826750003025
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.58 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704278759 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcturus Healthcare PLC | Current | Accepting new patients | |
| Macomb Oakland Adult Medicine PC | Current | Accepting new patients | |
| Arcturus Healthcare PLC | Current | Accepting new patients |
Locations
1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000
4600 Investment Dr
Ste 300
Troy, MI 48098
Phone (248) 267-5000
Interoperability endpoints
- jaclynkorn@timpc.allscriptsdirect.net
- jkorn804108@direct.hfhs.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1326487901
-
- Family Medicine Physician
- Rochester Hills, MI
- NPI 1497277099
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1669576120
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1326699844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 SANDALWOOD DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851644",
"telephone_number": "248-535-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 SANDALWOOD DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851644",
"telephone_number": "248-535-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORN",
"first_name": "JACLYN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704278759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.