Individual provider Active NPI

Jessica Sara Herek, NP

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1376176255
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704283183 Issued in MI
Practice address
3350 Shattuck Rd
Saginaw, MI 48603-3287
Phone
(989) 583-7090
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704283183 MI Primary

Addresses

Primary practice location

3350 Shattuck Rd
Saginaw, MI 48603-3287

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727

Other practice location 1

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jherek66972@direct.covenanthealthcare.com
Direct Messaging Address jherek66972@direct.covenanthealthcare.com

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
I20200313002140 MI Practitioner - Nurse Practitioner 8921436551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

3350 Shattuck Rd
Saginaw, MI 48603-3287
Phone (989) 792-1895

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc CurrentSince Apr 27, 2020 Accepting new patients
Sara L Rivette MD PC PastSince Nov 15, 2000 Accepting new patients

Locations

3400 N Center Rd
Ste 500
Saginaw, MI 48603
Phone (989) 797-4231

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

3350 Shattuck Rd
Saginaw, MI 48603
Phone (989) 245-8730

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.

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1376176255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033287",
            "telephone_number": "989-583-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Wellness Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486702000",
            "country_code": "US",
            "telephone_number": "844-832-1956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEREK",
        "first_name": "JESSICA",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704283183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jherek66972@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "4000 Wellness Dr",
            "city": "Midland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486702000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jherek66972@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "3350 Shattuck Rd",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486033287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.