Jessica I Fowler, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704310428 Issued in MI

Practice address

719 S Opdyke Rd
Auburn Hills, MI 48326-3436

Phone

(248) 333-2600

Fax

(248) 333-3250

NPI assigned

Jun 22, 2017

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

Other names 1

• Miss Jessica I Kimbrel Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.fowler.1@8209.direct.athenahealth.com
• Direct secure messaging: jfowler727399@direct.hfhs.org
• Direct secure messaging: jfowler1127102@direct.hfhs.org

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.

• Genesys Practice Partners Inc

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1982647004
  Medicare reassignment Care Compare group NPD
• Genesys Practice Partners Inc

  • Cardiovascular Disease Physician
  • Grand Blanc, MI
  • NPI 1790433803
  NPD
• Genesys Practice Partners, Inc

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1336842160
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1578083440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263436",
            "telephone_number": "248-333-2600",
            "fax_number": "248-333-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263436",
            "telephone_number": "248-333-2600",
            "fax_number": "248-333-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JESSICA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704310428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KIMBREL",
            "middle_name": "I",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey Fish, PAC
• Jaclyn Michele Fisher
• Jonathan Fleury, LLC
• Michelle Forton, PMHNP
• Abrianna Foskett, LLMSW
• Hailey Marie Fox
• Maria Freeman, OTRL
• Julie Jane Frei, LMSW
• Michelle Fries
• Nicholas B Frisch, M.D.

• Family Nurse Practitioner in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.