Kasey Terese Jodway, RN
Individual provider Active NPI Acute Care Nurse Practitioner · Detroit, MI
NPI 1508680729 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1508680729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4704359871 (MI)
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2689 - Phone
- (313) 916-2600
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Health System
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
- Henry Ford Health Hospital
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 |
|---|---|---|---|---|
| I20251204003071 | MI | Practitioner - Nurse Practitioner | 7416440706 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704359871 | MI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wa Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Acute Care | Current |
Accepting new patients |
| Henry Ford Wyandotte Hospital | Current |
Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current |
Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current |
Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current |
Accepting new patients | |
| Henry Ford Health System | Current |
Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1102 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-7299
7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704359871 | MI | |
| Acute Care Nurse Practitioner | 363LA2100X | 4704359871 | MI | Yes |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2689
Mailing address
19093 Parkwood LN
Brownstown TWP, MI 48183-6805
Other providers in Detroit, MI
- Jitney Access Mobility Network
- Jitney Access Tranportation LLC
- JK4 Enterprises, Inc.
- Job Lactation
- Rosemary Job
- Stephen J Joe
- Joe'S Medical Supplies, L.L.C.
- Carmen Jackson Joel
- William Kyungha Joh
- Johanna J Verwilghen MD PLLC
All providers in Detroit, MI · Acute Care 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 27, 2025. 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.