Individual provider Active NPI

Sue Ellen Hager, F.N.P.

  • Family Nurse Practitioner
  • Jonesville, MI
National Provider Identifier
1447327077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704106139 Issued in MI
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

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001715 MI Practitioner - Nurse Practitioner 3870619760 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704106139MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesville Healthcare PLLC CurrentSince Aug 1, 2010 Accepting new patients
Jonesville Health Care PLLC CurrentSince Aug 1, 2010 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

  • Direct secure messaging: suehager@jhc.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.