Individual provider Active NPI

Jessica Ruth Sutherland, FNP

  • Family Nurse Practitioner
  • Waterford, MI
National Provider Identifier
1396471280
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704334306 Issued in MI
Practice address
501 N Cass Lake Rd
Waterford, MI 48328-2307
Phone
(248) 724-7600
Fax
(248) 724-6800
NPI assigned
Jul 25, 2022
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 4704334306 MI Primary

Addresses

Primary practice location

501 N Cass Lake Rd
Waterford, MI 48328-2307

Mailing address

PO Box 430150
Pontiac, MI 48343-0150
Phone (248) 724-7600

Other practice location 1

1701 Baldwin Ave
Pontiac, MI 48340-3412
Phone (248) 724-7600

Other practice location 2

461 W Huron St Ste 103
Pontiac, MI 48341-1601
Phone (248) 724-7600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sutherland.p1@direct.oihn.nextgenshare.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
I20230822000272 MI Practitioner - Nurse Practitioner 0345602488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704334306MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Integrated Healthcare Network CurrentSince Jul 24, 2023 Accepting new patients
Oakland Integrated Healthcare Network CurrentSince Jul 24, 2023 Accepting new patients
Oakland Integrated Healthcare Network Past Accepting new patients

Locations

1701 Baldwin Ave
Pontiac, MI 48340
Phone (248) 334-4962

461 W Huron St
Ste 107
Pontiac, MI 48341
Phone (248) 857-7432

501 N Cass Lake Rd
Waterford, MI 48328
Phone (248) 857-7432

501 N Cass Lake Rd
Rm 213
Waterford, MI 48328
Phone (248) 674-4876

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1396471280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430150",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CASS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282307",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Baldwin Ave",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483403412",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "461 W Huron St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411601",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "JESSICA",
        "middle_name": "RUTH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704334306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sutherland.p1@direct.oihn.nextgenshare.com",
            "affiliation": "N",
            "address_1": "501 N Cass Lake Rd",
            "city": "Waterford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483282307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.