Kristina Renee Jennings, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009741 Issued in MI

Practice address

15717 15 Mile Rd
Clinton TWP, MI 48035-2101

Phone

(586) 285-3800

NPI assigned

Jan 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Get Well Urgent Care Detroit PLCGroup PAC ID 0941657126, 15 clinicians

Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians

Get Well Urgent Care Pontiac PLCGroup PAC ID 2961872726, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Get Well Urgent Care Detroit, PLC

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1225728215
  Medicare reassignment Care Compare group
• Get Well Urgent Care Pontiac PLC

  • Urgent Care Clinic/Center
  • Pontiac, MI
  • NPI 1740999077
  Medicare reassignment Care Compare group
• Oak Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Oak Park, MI
  • NPI 1770980385
  Medicare reassignment Care Compare group
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  Physician Assistant

  Medicare reassignment NPD
• Hoover Urgent Care of Warren PLLC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1821351610
  Medicare reassignment
• Garg and Associates Inc

  dba harbor pines walk in clinic

  • General Practice Physician
  • Keego Harbor, MI
  • NPI 1174617948
  NPD (past)

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1427688746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15717 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352101",
            "telephone_number": "586-285-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24661 Coolidge Hwy",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "MI",
            "postal_code": "482371449",
            "country_code": "US",
            "telephone_number": "248-398-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "KRISTINA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-26",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Jeffire, CHW, PRC
• Jeffrey a Conn DC PC (Pointe Village Chiropractic)
• Jeffrey M Shuster MD PC
• Jeffrey M. Bruner, D.O., P.C. (Asthma & Allergy Institute of Michigan)
• Jennifer M. Lewiston
• Tamika Jennings
• Kimberly Ann Jeroue, OTR/L
• John a. Dobry DDS LLC
• Andrea Marie Johnson, LLBSW
• Douglas Edward Johnson, P.T.

• Physician Assistant in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.