Active NPI
Jean L Phillpotts, CNM
- Advanced Practice Midwife
- Burton, MI
National Provider Identifier
1376528497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704114147
- Practice address
- 4015 Davison Rd
Burton, MI 48509-1401 - Phone
- (810) 715-1875
- Fax
- (810) 742-8911
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704114147 | MI | Primary |
Addresses
Primary practice location
4015 Davison Rd
Burton, MI 48509-1401
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010141 | Other | MI | HEALTH ADVANTAGE NETWORK |
| 4622831 | Medicaid | MI | |
| 4208702600 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4622798 | Medicaid | MI | |
| 1010141 | Other | MI | MCLAREN HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704114147 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Advanced Practice Midwife | Past | Accepting new patients |
| McLaren Flint | Advanced Practice Midwife | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Advanced Practice Midwife
- Burton, MI
- NPI 1114066693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376528497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-342-1000",
"fax_number": "810-342-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 DAVISON RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485091401",
"telephone_number": "810-715-1875",
"fax_number": "810-742-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLPOTTS",
"first_name": "JEAN",
"middle_name": "L",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704114147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE NETWORK",
"identifier": "1010141",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4622831",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4208702600",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4622798",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1010141",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.