Active NPI
Kelly Jean Jamison, NP
- Family Nurse Practitioner
- Reed City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704202023
- Practice address
- 300 N Patterson Rd
Reed City, MI 49677-8041 - Phone
- (616) 391-3139
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704202023 | MI | Primary |
Addresses
Primary practice location
300 N Patterson Rd
Reed City, MI 49677-8041
Mailing address
100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjamison106591@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140328001530 | MI | Practitioner - Nurse Practitioner | 3577608231 | Reassigns benefits to 3 organizations |
| I20150401000898 | NM | Practitioner - Nurse Practitioner | 3577608231 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Health Primary Care Partners
Practice addresses (Care Compare)
212 S Sullivan Ave
Corewell Health Medical Group West
Fremont, MI 49412-1548
Phone (616) 391-3139
2249 Wealthy St SE
110 Corewell Health Medical Group West
East Grand Rapids, MI 49506-3055
Phone (616) 391-4600
300 N Patterson Rd
Reed City, MI 49677-8041
Phone (231) 832-7140
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
8333 Felch St
Zeeland, MI 49464-2608
Hospital & facility affiliations
- Corewell Health Reed City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704202023 | MI | MD | Family Nurse Practitioner |
| 14178 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Michigan, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Michigan PLLC | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Current | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Apogee Medical Group Tennessee PC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Las Cruces Physician Services LLC | Past | Accepting new patients |
Locations
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
204 W Main St
Fremont, MI 49412
Phone (231) 924-1122
100 Michigan St NE
Ste A721
Grand Rapids, MI 49503
Phone (616) 391-3139
2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271
200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- kjamison106591@epic00.corewelldirect.org
- kjamison106591@epic00.shdirect.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 12
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.
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- Internal Medicine Physician
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MI
-
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- NPI 1013180181
MI
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
MI
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1033370283
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Hospitalist Physician
- Grand Rapids, MI
- NPI 1790093763
-
- Durable Medical Equipment & Medical Supplies
- Holland, MI
- NPI 1871741652
-
- General Practice Physician
- Scottsdale, AZ
- NPI 1578717682
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
-
- Orthopaedic Surgery Physician
- Las Cruces, NM
- NPI 1215079678
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1356423933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-486-6790",
"fax_number": "616-486-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N PATTERSON RD",
"city": "REED CITY",
"state": "MI",
"postal_code": "496778041",
"telephone_number": "616-391-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "KELLY",
"middle_name": "JEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704202023",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kjamison106591@epic00.shdirect.org",
"affiliation": "N",
"address_1": "100 Michigan St NE",
"address_2": "Suite A721",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495032560",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "100 Michigan St NE",
"address_2": "Suite A721",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495032560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reed City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.