Jessica Terhorst
Individual provider Active NPI Nurse Practitioner · Pleasant Ridge, MI
NPI 1508528290 · NPPES record last updated Oct 10, 2021
Key facts
- NPI
- 1508528290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704294630 (MI)
- Practice address
- 31 Amherst Rd
Pleasant Ridge, MI 48069-1204 - Phone
- (616) 481-5830
- NPI assigned
- Oct 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LTC Physician Care PC
Practice addresses (Care Compare)
18200 W 13 Mile Rd
Mission Point of Beverly Hills LLC
Beverly Hills, MI 48025-5446
Phone (248) 621-0370
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211105001563 | MI | Practitioner - Nurse Practitioner | 0143619502 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704294630 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current |
Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current |
Accepting new patients |
| LTC Physician Care PC | Current |
Accepting new patients |
Locations
414 E State St
Belding, MI 48809
Phone (616) 619-7833
18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500
400 Jeffrey St
Cedar Springs, MI 49319
Phone (616) 696-0170
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
535 N Main St
Clawson, MI 48017
Phone (248) 435-5200
17001 17 Mile Rd
Clinton Twp, MI 48038
Phone (586) 286-7100
1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
1095 Medical Park Dr SE
Grand Rapids, MI 49546
Phone (616) 588-9210
3400 Wilson Ave SW
Grandville, MI 49418
Phone (616) 534-5487
13030 Commercial St
Lamont, MI 49430
Phone (616) 677-1243
31155 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 585-7010
11525 E 10 Mile Rd
Warren, MI 48089
Phone (586) 759-0700
8380 Geddes Rd
Ypsilanti, MI 48198
Phone (734) 547-7600
Interoperability endpoints
- jnienhaus533026@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704294630 | MI | Yes |
Addresses
Primary practice location
31 Amherst Rd
Pleasant Ridge, MI 48069-1204
Mailing address
31 Amherst Rd
Pleasant Ridge, MI 48069-1204
Phone (616) 481-5830
Other providers in Pleasant Ridge, MI
- Corinne Ann Rogers
- Royal Oak Family Dentistry
- Dale C Scarlett
- SFT Enterprises Inc
- Susan Andrea Tacke
- Thriving Pineapple
- Stephen Walters
- Lindsey Marie Wyatt
- Angelo Michael Zervos
All providers in Pleasant Ridge, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.