Jacob T Straley, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704291936 Issued in MI

Practice address

4201 Campus Ridge Dr Ste 3000
Midland, MI 48640-6135

Phone

(989) 488-5450

Fax

(989) 488-5455

NPI assigned

Dec 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Home Health Home health agency, Cheboygan, MI, CCN 237160
• Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstraley8915@mymichiganhealth.midirect.net

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.

• Mymichigan Medical Center Alpena

  • Emergency Medicine Physician
  • Alpena, MI
  • NPI 1508332792
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center West Branch

  • General Acute Care Hospital
  • West Branch, MI
  • NPI 1538566765
  Medicare reassignment NPD
• Mymichigan Medical Center Alpena

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1942302302
  NPD
• Mymichigan Medical Center West Branch

  • Family Medicine Physician
  • West Branch, MI
  • NPI 1518418292
  NPD
• Mymichigan Medical Center West Branch

  • Internal Medicine Physician
  • West Branch, MI
  • NPI 1730674540
  NPD
• West Branch Regional Medical Center

  • Rural Acute Care Hospital
  • West Branch, MI
  • NPI 1396732103
  NPD

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

• McLaren Health Management Group

  • Home Health Agency
  • Cheboygan, MI
  • NPI 1538270855
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1619791431
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Alpena, MI
  • NPI 1619914652
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1942302302

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1366957060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CAMPUS RIDGE DR STE 3000",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406135",
            "telephone_number": "989-488-5450",
            "fax_number": "989-488-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CAMPUS RIDGE DR STE 3000",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406135",
            "telephone_number": "989-488-5450",
            "fax_number": "989-488-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRALEY",
        "first_name": "JACOB",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704291936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stockton
• Mallory Stolicker, PA-C
• Dennis Stonerock
• Joshua Storey
• Mary Stothard, LLP
• Stratford Pines Operating, LLC
• Crystan Straub, LLPC
• Eric Streeter, MA
• Sayge Strickland
• Jeffrey P Striebel, DO

• Nurse Practitioner in Midland, MI
• Providers in Midland, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.

Verify at the official NPI Registry.