NPIMap

Individual provider Active NPI

Jessica Marie Faber, FNP

  • Family Nurse Practitioner
  • Gladwin, MI
National Provider Identifier
1407526619
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704312158 Issued in MI
Practice address
1105 E Cedar Ave
Gladwin, MI 48624-7003
Phone
(989) 246-9430
NPI assigned
Sep 18, 2021
Last updated
Sep 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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 4704312158 MI Primary

Addresses

Primary practice location

1105 E Cedar Ave
Gladwin, MI 48624-7003

Mailing address

1105 E Cedar Ave
Gladwin, MI 48624-7003
Phone (989) 246-9430

Other names 1

  • Jessica Marie Simpkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013000818 MI Practitioner - Nurse Practitioner 6103224720 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1105 E Cedar Ave
Gladwin, MI 48624-7003
Phone (989) 246-6490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704312158MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Nov 1, 2021 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6201

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

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

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Interoperability endpoints

  • Direct secure messaging: jfaber102263@mymichiganhealth.midirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1407526619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486247003",
            "telephone_number": "989-246-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486247003",
            "telephone_number": "989-246-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704312158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SIMPKINS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gladwin, MI

Sources for this page

Verify at the official NPI Registry.