Active NPI
Sue Ellen Hager, F.N.P.
- Family Nurse Practitioner
- Jonesville, MI
National Provider Identifier
1447327077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704106139
- Practice address
- 216 Olds St
Jonesville, MI 49250-1128 - Phone
- (517) 849-7100
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704106139 | MI | Primary |
Addresses
Primary practice location
216 Olds St
Jonesville, MI 49250-1128
Mailing address
2670 W Parnall Rd
Jackson, MI 49201-9036
Phone (571) 784-1575
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704106139 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonesville Healthcare PLLC | Current | Accepting new patients | |
| Jonesville Health Care PLLC | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients |
Locations
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
206 Olds St
Jonesville, MI 49250
Phone (517) 849-7100
216 Olds St
Jonesville, MI 49250
Phone (517) 849-7100
Interoperability endpoints
- suehager@jhc.allscriptsdirect.net
- shager719350@direct.hfhs.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Jonesville, MI
- NPI 1063573830
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Rural Health Clinic/Center
- Jonesville, MI
- NPI 1790194009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447327077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 W PARNALL RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019036",
"telephone_number": "571-784-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 OLDS ST",
"city": "JONESVILLE",
"state": "MI",
"postal_code": "492501128",
"telephone_number": "517-849-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "SUE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704106139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.