NPIMap

Individual provider Active NPI

Jennifer L Raffin, MD

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1407839277
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301078029 Issued in MI
Practice address
1701 South Blvd East
Ste 240
Rochester Hills, MI 48307
Phone
(248) 997-7000
Fax
(248) 997-7007
NPI assigned
Nov 25, 2005
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301078029 MI Primary

Addresses

Primary practice location

1701 South Blvd East
Ste 240
Rochester Hills, MI 48307

Mailing address

1701 South Blvd East
Ste 240
Rochester Hills, MI 48307
Phone (248) 997-7000

Other practice location 1

44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-0400

Other identifiers 1

IdentifierTypeStateIssuer
4613000MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jraffin11941@direct.beaumont.edu

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
I20040617000917 MI Practitioner - Family Practice 5294719043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Rochester Hills, MI 48307-6116

4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301078029MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcturus Healthcare PLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Arcturus Healthcare PLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Macomb Oakland Adult Medicine PC Current Accepting new patients

Locations

1701 South Blvd E
Ste 240
Rochester Hills, MI 48307
Phone (248) 997-7000

1701 South Blvd E
Ste 250
Rochester Hills, MI 48307
Phone (248) 293-1002

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

Interoperability endpoints

  • Direct secure messaging: jenniferraffin@pmg.allscriptsdirect.net
  • Direct secure messaging: jraffin11941@direct.beaumont.edu

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1407839277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD EAST",
            "address_2": "STE 240",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-997-7000",
            "fax_number": "248-997-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD EAST",
            "address_2": "STE 240",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-997-7000",
            "fax_number": "248-997-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44250 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141002",
            "country_code": "US",
            "telephone_number": "248-964-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFIN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4613000",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jraffin11941@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44250 Dequindre Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483141002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.