Individual provider Active NPI

Jamie Stevenson, FNP-C

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1467145243
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704312229NSA230F9 Issued in MI
Practice address
4701 Towne Centre Rd
Saginaw, MI 48604-2834
Phone
(989) 792-2792
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X D41122147 MI
Family Nurse Practitioner 363LF0000X 4704312229 MI
Family Nurse Practitioner 363LF0000X 4704312229NSA230F9 MI Primary

Addresses

Primary practice location

4701 Towne Centre Rd
Saginaw, MI 48604-2834

Mailing address

4701 Towne Centre Rd Ste 201
Saginaw, MI 48604-2833
Phone (989) 792-2792

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
I20230922002717 MI Practitioner - Nurse Practitioner 6305290404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Michigan District Health DepartmentGroup PAC ID 3274794136, 6 clinicians

Practice addresses (Care Compare)

103 N Bowery Ave
Gladwin Cty Branch Office
Gladwin, MI 48624-1479
Phone (989) 426-9431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704312229NSA230F9MIMDFamily Nurse Practitioner
D41122147MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound a Sleep PLC CurrentSince Aug 22, 2023 Accepting new patients
Narendra R Kumar M.D, PC CurrentSince Aug 22, 2023 Accepting new patients
Molina Care Connections, LLC. CurrentSince Jan 8, 2024 Accepting new patients
Central Michigan District Health Department CurrentSince May 20, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

103 N Bowery Ave
Ofc
Gladwin, MI 48624
Phone (989) 426-9431

103 N Bowery Ave
Gladwin, MI 48624
Phone (989) 430-8249

2012 E Preston St
Mt Pleasant, MI 48858
Phone (989) 773-5921

200 Grand Ave
Ste A
Prudenville, MI 48651
Phone (989) 366-9166

4701 Towne Centre Rd
Ste 203
Saginaw, MI 48604
Phone (989) 792-2792

4701 Towne Centre Rd
Ste 201
Saginaw, MI 48604
Phone (517) 792-4872

4489 M 61
Ste 3
Standish, MI 48658
Phone 4489613486 ext. 1639

4489 M 61
Ofc
Standish, MI 48658
Phone (989) 846-6541

4489 M 61
Standish, MI 48658
Phone (989) 846-2600

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

Organizations & group practices 4

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1467145243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042833",
            "telephone_number": "989-792-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042834",
            "telephone_number": "989-792-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JAMIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "D41122147",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704312229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704312229NSA230F9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.