Active NPI
Jessie Page Hart
- Gerontology Nurse Practitioner
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704342268
- Practice address
- 2282 Springport Rd
Jackson, MI 49202-1432 - Phone
- (517) 768-9791
- NPI assigned
- Nov 4, 2022
- Last updated
- Nov 4, 2022
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704342268 | MI | Primary |
Addresses
Primary practice location
2282 Springport Rd
Jackson, MI 49202-1432
Mailing address
10151 N Adams Rd
North Adams, MI 49262-9740
Phone (517) 425-1212
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 |
|---|---|---|---|
| 4704342268 | MI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Health Medical Mi PC | Current | Accepting new patients | |
| Hillsdale Community Health Center | Current | Accepting new patients |
Locations
3011 N Center Rd
Flint, MI 48506
Phone (710) 736-0600
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040
407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252
Interoperability endpoints
- jhart824532@direct.hfhs.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Flint, MI
- NPI 1336958792
-
dba Hillsdale Hospital
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1467169748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 N ADAMS RD",
"city": "NORTH ADAMS",
"state": "MI",
"postal_code": "492629740",
"telephone_number": "517-425-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2282 SPRINGPORT RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492021432",
"telephone_number": "517-768-9791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JESSIE",
"middle_name": "PAGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704342268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.