Jackilyn Danielle Alverson, AGACNP

Key facts

NPI

1457930349

Entity type

Individual (NPI type 1)

Primary specialty

Acute Care Nurse Practitioner 363LA2100X

License

4704289459 (MI)

Practice address

2700 Burcham Dr
East Lansing, MI 48823-3898

Phone

(517) 351-8377

Fax

(517) 351-1738

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

Yes

Organizations & group practices 10

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.

• Msu Health Care Inc Allergy & Immunology Physician · East Lansing, MI · NPI 1700418670
  Medicare reassignment Care Compare group NPD MI
• Edward W. Sparrow Hospital Association Pediatrics Physician · Lansing, MI · NPI 1831139088
  Medicare reassignment NPD MI
• Vituity - Michigan Hospitalists PC Hospitalist Physician · Lansing, MI · NPI 1487278156
  Medicare reassignment NPD MI
• Msu Health Care Inc. Physical Therapist · East Lansing, MI · NPI 1689206419
  Care Compare group NPD
• Sparrow Specialty Hospital Long Term Care Hospital · Lansing, MI · NPI 1437655842
  Medicare reassignment MI
• Msu Health Care Inc. Diagnostic Radiology Physician · East Lansing, MI · NPI 1275165052
  Care Compare group
• Msu Health Care Inc. Institutional Pharmacy · East Lansing, MI · NPI 1467083485
  Care Compare group
• Edward W Sparrow Hospital Association Adult Health Nurse Practitioner · Lansing, MI · NPI 1265220438
  NPD
• Edward W. Sparrow Hospital Association Neurological Surgery Physician · Lansing, MI · NPI 1689620098
  NPD
• Msu Health Care Inc Geriatric Medicine (Family Medicine) Physician · Holt, MI · NPI 1245865328
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Msu Health Care Inc. (201 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2024.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1457930349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A202",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-351-8377",
            "fax_number": "517-351-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BURCHAM DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233898",
            "telephone_number": "517-351-8377",
            "fax_number": "517-351-1738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 N Michigan Rd",
            "address_purpose": "LOCATION",
            "city": "Dimondale",
            "state": "MI",
            "postal_code": "488219744",
            "country_code": "US",
            "telephone_number": "517-646-6258",
            "fax_number": "517-646-0320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5091 Willoughby Rd",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488421054",
            "country_code": "US",
            "telephone_number": "517-694-2144",
            "fax_number": "517-694-7469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVERSON",
        "first_name": "JACKILYN",
        "middle_name": "DANIELLE",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704289459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in East Lansing, MI · Acute Care Nurse Practitioner in Michigan