Individual provider Active NPI

Jodie Colman, NP

  • Family Nurse Practitioner
  • Westland, MI
National Provider Identifier
1366815557
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704299860 Issued in MI
Practice address
6149 N Wayne Rd
Westland, MI 48185-7128
Phone
(734) 728-2130
Fax
(734) 728-2626
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704299860 MI Primary

Addresses

Primary practice location

6149 N Wayne Rd
Westland, MI 48185-7128

Mailing address

6149 N Wayne Rd
Westland, MI 48185-7128
Phone (734) 728-2130

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
I20151221001990 MI Practitioner - Nurse Practitioner 1153622949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encore Geriatrics PLLCGroup PAC ID 6507128774, 6 clinicians

Practice addresses (Care Compare)

14707 Northville Rd
Plymouth, MI 48170-6079
Phone (734) 469-3385

200 N Canton Ctr Rd
Waltonwood Carriage Park
Canton, MI 48187-5095
Phone (734) 656-8883

2000 N Canton Ctr Rd
Canton, MI 48187-5095
Phone (734) 233-9375

2500 Martin Pkwy
Commerce Township, MI 48390-1295
Phone (248) 387-2961

27475 Huron Cir
Novi, MI 48377-3439
Phone (248) 468-1794

30637 W 14 Mile Rd
Farmington Hills, MI 48334-1531
Phone (248) 660-0982

33579 8 Mile Rd
Livonia, MI 48152-1290
Phone (248) 653-7690

6149 N Wayne Rd
Westland, MI 48185-7128
Phone (734) 728-1320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704299860MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Nov 10, 2015 Accepting new patients
Encore Geriatrics PLLC CurrentSince Feb 15, 2018 Accepting new patients
Michigan Healthcare Professionals PC Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 10, 2015 Accepting new patients

Locations

200 N Canton Center Rd
Canton, MI 48187
Phone (734) 656-8883

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

520 Main St
#M
Manistique, MI 49854
Phone (906) 341-6921

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

35700 Warren Rd
Westland, MI 48185
Phone (248) 245-6129

6149 N Wayne Rd
Westland, MI 48185
Phone (734) 728-1320

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1366815557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857128",
            "telephone_number": "734-728-2130",
            "fax_number": "734-728-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857128",
            "telephone_number": "734-728-2130",
            "fax_number": "734-728-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMAN",
        "first_name": "JODIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704299860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.