Jackilyn Danielle Alverson, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704289459 Issued in MI

Practice address

2700 Burcham Dr
East Lansing, MI 48823-3898

Phone

(517) 351-8377

Fax

(517) 351-1738

NPI assigned

Apr 7, 2021

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670
  Medicare reassignment Care Compare group NPD
• Edward W. Sparrow Hospital Association

  dba Sparrow Regional Children's Center

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1831139088
  Medicare reassignment NPD
• Vituity - Michigan Hospitalists PC

  • Hospitalist Physician
  • Lansing, MI
  • NPI 1487278156
  Medicare reassignment NPD
• Sparrow Specialty Hospital

  dba University of Michigan Health-Sparrow Specialty Hospital

  • Long Term Care Hospital
  • Lansing, MI
  • NPI 1437655842
  Medicare reassignment
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438
  NPD
• Edward W. Sparrow Hospital Association

  dba Sparrow Neurology Clinic

  • Neurological Surgery Physician
  • Lansing, MI
  • NPI 1689620098
  NPD
• Msu Health Care Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Holt, MI
  • NPI 1245865328
  NPD
• Msu Health Care Inc.

  • Physical Therapist
  • East Lansing, MI
  • NPI 1689206419
  NPD

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

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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": []
}

• Israa Qadri Alshaikhli, DO
• Abrahem Mohammad Alsherbini, MD
• Maryam Alsumaidaee
• Aya Altantawi
• Margaret S Alvarez Haynes, MSW
• Mia Alward
• Alvin Edward Amakove
• Maryam Amatullah-Samad
• Margaret Anne Amendt, O.T.R.
• Kristopher Amos-Lopez, LPC

• Acute Care Nurse Practitioner in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.