Individual provider Active NPI

Jacqueline Hardy

  • Physician Assistant
  • Bingham Farms, MI
National Provider Identifier
1356981906
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
32270 Telegraph Rd Ste 110
Bingham Farms, MI 48025-2456
Phone
(248) 792-9496
NPI assigned
Jan 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

32270 Telegraph Rd Ste 110
Bingham Farms, MI 48025-2456

Mailing address

32270 Telegraph Rd Ste 110
Bingham Farms, MI 48025-2456
Phone (248) 792-9496

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427002826 MI Practitioner - Physician Assistant 1254749476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novahealth Urgent Care of SouthfieldGroup PAC ID 3678933520, 2 clinicians

Practice addresses (Care Compare)

25775 W 10 Mile Rd
Suite B
Southfield, MI 48033-4856
Phone (313) 753-0016

25775 W 10 Mile Rd B
Southfield, MI 48033-4856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Specialists of Michigan PC Current Accepting new patients
Spine Specialist of Michigan PC Current Accepting new patients
Lansing Urgent Care, PLC PastSince Apr 6, 2021 Accepting new patients

Locations

32270 Telegraph Rd
Ste 110
Bingham Farms, MI 48025
Phone (248) 792-9365

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFBDD/Endpoint/IBFBDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1356981906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD STE 110",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-792-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD STE 110",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-792-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-12",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.