Jennifer Raquel Hubbard, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301100676 Issued in MI

Practice address

684 Harvey St Ste 201
Muskegon, MI 49442-4274

Phone

(231) 777-2732

NPI assigned

May 18, 2012

Last updated

Apr 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shoreline Pediatrics PLC

  • Pediatrics Physician
  • Muskegon, MI
  • NPI 1609874643
  NPD

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1528328945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 VULCAN ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494442344",
            "telephone_number": "231-777-2732",
            "fax_number": "231-773-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 HARVEY ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424274",
            "telephone_number": "231-777-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JENNIFER",
        "middle_name": "RAQUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301100676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HPCN (West View Family Medicine)
• HPCN/Norton Family Practice (Norton Family Practice)
• Douglas Richard Hren, D.C.
• Kelley Elaine Hruskach
• Emiley Hua
• Catherine Anne Hubbartt
• Julie Anne Hubner, DNP, RN
• Steven W Huder, MD
• Michelle M Huebler, RD
• William Patrick Hughes, D.O.

• Pediatrics Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.

Verify at the official NPI Registry.