Jessica June Smith, RN, BSN, MSN, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704253687 Issued in MI

Practice address

12895 Dennison Rd
Milan, MI 48160-9594

Phone

(734) 752-7693

NPI assigned

Nov 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Jessica June Pastor 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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpastor241454@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.

• Emergency Professionals of Michigan, P.C.

  • Emergency Medicine Physician
  • Dearborn, MI
  • NPI 1952740656
  Medicare reassignment NPD
• Springfield Urgent Care, P.L.L.C.

  • Urgent Care Clinic/Center
  • Clarkston, MI
  • NPI 1144747460
  Medicare reassignment NPD

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1578890323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18103 CEDAR ISLAND BLVD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481749583",
            "telephone_number": "734-752-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12895 DENNISON RD",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481609594",
            "telephone_number": "734-752-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, MSN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704253687",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704253687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578890323",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PASTOR",
            "middle_name": "JUNE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Senior Care Services & Transport,LLC
• Susan Sheeley, M.A., LPC
• Shift Behavioral Health
• Crystal Smith
• Janice K Smith
• Stamper Adult Care
• Jill Michele-Reese Stante, LMSW
• Krista Stevens
• Kristen Strickland, BSN MPH IBCLC
• Sweeney Chiropractic PLLC

• Acute Care Nurse Practitioner in Milan, MI
• Providers in Milan, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.