Individual provider Active NPI

Jeremy Michael Curtis, NP

  • Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1497712129
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704232820 Issued in MI
Practice address
205 N East Ave
Jackson, MI 49201-1753
Phone
(517) 788-4750
Fax
(517) 789-5968
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704232820 MI Primary

Addresses

Primary practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

PO Box 2444
Dalton, GA 30722-2444
Phone (706) 271-0100

Other practice location 1

8365 N Newburgh Rd
Westland, MI 48185-1149
Phone (734) 416-2000

Other identifiers 2

IdentifierTypeStateIssuer
P00343863OtherMIRR MEDICARE
4838180MedicaidMI

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
I20051227000558 MI Practitioner - Nurse Practitioner 1951323435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753
Phone (217) 787-9322

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704232820MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical Nurse Practitioner CurrentSince Nov 9, 2020 Accepting new patients
Encore Geriatrics PLLC CurrentSince Jun 20, 2018 Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 15, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Jun 15, 2021 Accepting new patients
Michigan Continuum Care PLLC PastSince Sep 10, 2014 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients
Pulmonary Clinics of Southern Michigan Past Accepting new patients

Locations

200 N Canton Center Rd
Canton, MI 48187
Phone (734) 656-8883

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

900 E Michigan Ave
Ste 1
Jackson, MI 49201
Phone (517) 788-7866

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

900 E Michigan Ave
Ste 105
Jackson, MI 49201
Phone (517) 782-3190

110 N Elm Ave
Jackson, MI 49202
Phone (517) 787-1440

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

520 Main St
#M
Manistique, MI 49854
Phone (906) 341-6921

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

8365 N Newburgh Rd
Westland, MI 48185
Phone (734) 216-2000

Interoperability endpoints

  • Direct secure messaging: jcurtis462333@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Henry Ford Allegiance HospiceJackson, MI, CCN 231523 Hospice W-2 Managing Employee Feb 9, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1497712129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2444",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307222444",
            "telephone_number": "706-271-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011753",
            "telephone_number": "517-788-4750",
            "fax_number": "517-789-5968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8365 N Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481851149",
            "country_code": "US",
            "telephone_number": "734-416-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704232820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00343863",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4838180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.