Active NPI
Jessica Jean Lindell, FNP-C
- Family Nurse Practitioner
- Lake City, MI
National Provider Identifier
1528615648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704287402
- Practice address
- 251 Russell St
Lake City, MI 49651-9449 - Phone
- (231) 236-7597
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704287402 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704287402 | MI | Primary |
Addresses
Primary practice location
251 Russell St
Lake City, MI 49651-9449
Mailing address
PO Box 850
White Cloud, MI 49349-0850
Other practice location 1
532 Haynes St
Cadillac, MI 49601-1809
Phone (231) 236-7597
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Health Department No 10 | 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.
-
- Public Health or Welfare Agency
- White Cloud, MI
- NPI 1265441877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1528615648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "WHITE CLOUD",
"state": "MI",
"postal_code": "493490850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 RUSSELL ST",
"city": "LAKE CITY",
"state": "MI",
"postal_code": "496519449",
"telephone_number": "231-236-7597"
}
],
"practiceLocations": [
{
"address_1": "532 Haynes St",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496011809",
"country_code": "US",
"telephone_number": "231-236-7597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDELL",
"first_name": "JESSICA",
"middle_name": "JEAN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704287402",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704287402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.