Individual provider Active NPI

Jacqueline S. Jones, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Rochester, MI
National Provider Identifier
1396868618
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704168786 Issued in MI
Practice address
1101 W University Dr
Rochester, MI 48307-1863
Phone
(248) 652-5000
Fax
(248) 650-9160
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4704168786 MI Primary

Addresses

Primary practice location

1101 W University Dr
Rochester, MI 48307-1863

Mailing address

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000

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
I20040625000795 MI Practitioner - Nurse Practitioner 0941286470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants PCGroup PAC ID 9436132131, 10 clinicians

Practice addresses (Care Compare)

37771 Schoenherr
Suite 101
Sterling Heights, MI 48312-2302

37771 Schoenherr Rd
Sterling Heights, MI 48312-2302
Phone (586) 698-1200

57850 Van Dyke Rd
Suite 400
Washington, MI 48094-3821
Phone (586) 677-4606

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants PC CurrentSince Mar 20, 2011 Accepting new patients
American Cardiovascular Health, PLC Past Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1460 Walton Blvd
Ste 209
Rochester Hills, MI 48309
Phone (248) 656-4225

75 Barclay Cir
Ste 205
Rochester Hills, MI 48307
Phone (248) 651-6430

1460 Walton Blvd
Ste 50
Rochester Hills, MI 48309
Phone (248) 413-5817

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

37771 Schoenherr Rd
Ste 101
Sterling Hts, MI 48312
Phone (586) 573-7971

37771 Schoenherr Rd
Ste 103
Sterling Hts, MI 48312
Phone (586) 978-1300

57850 Van Dyke Rd
Ste 400
Washington Township, MI 48094
Phone (586) 677-4606

Interoperability endpoints

  • Direct secure messaging: jjones1133699@direct.hfhs.org
  • Direct secure messaging: jacquelinejones@cardc.allscriptsdirect.net

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.

Hospital & facility affiliations 5

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396868618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5000",
            "fax_number": "248-650-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5000",
            "fax_number": "248-650-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACQUELINE",
        "middle_name": "S.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704168786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.