Active NPI
Jacob William Turmell, NP-C
- Adult Health Nurse Practitioner
- Grand Rapids, MI
National Provider Identifier
1497828214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704229938
- Practice address
- 2774 Birchcrest Dr SE
Grand Rapids, MI 49506 - Phone
- (616) 309-7250
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704229938 | MI | Primary |
Addresses
Primary practice location
2774 Birchcrest Dr SE
Grand Rapids, MI 49506
Mailing address
2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477
Phone (616) 309-7250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4951606 | Medicaid | MI |
Other names 1
- Mr. Jacob William Ainsworth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704229938 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Heart | Adult Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1497828214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2774 BIRCHCREST DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495065477",
"telephone_number": "616-309-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2774 BIRCHCREST DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49506",
"telephone_number": "616-309-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURMELL",
"first_name": "JACOB",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704229938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4951606",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACOB",
"last_name": "AINSWORTH",
"middle_name": "WILLIAM",
"prefix": "MR.",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.