Individual provider Active NPI

Jennifer Carol Rohrborn, NP

  • Adult Health Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1598091704
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704196918 Issued in MI
Practice address
32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390
Phone
(313) 306-2023
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704196918 MI Primary

Addresses

Primary practice location

32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390

Mailing address

26025 Lahser Rd
2ND Floor
Southfield, MI 48033-2606
Phone (248) 663-1900

Other practice location 1

26025 Lahser Rd
2nd Floor
Southfield, MI 48033-2606
Phone (248) 663-1900

Other identifiers 1

IdentifierTypeStateIssuer
4704196918OtherMIMICHIGAN LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130327000231 MI Practitioner - Nurse Practitioner 9234374018 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Pain Consultants PCGroup PAC ID 1052204062, 20 clinicians

Practice addresses (Care Compare)

25990 Crocker Blvd
Harrison Township, MI 48045-3450
Phone (586) 466-5211

48801 Romeo Plank Rd
Suite 103
Macomb, MI 48044-2165
Phone (248) 751-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704196918MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Pain Consultants PC Nurse Practitioner CurrentSince Dec 23, 2024 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Mar 1, 2019 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2021 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Mar 1, 2019 Accepting new patients
Henry Ford Semi Medical Group Current Accepting new patients
Henry Ford Cornerstone Medical Group Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 2021 Accepting new patients
St. John Hospital Past Accepting new patients

Locations

2370 Momentum Pl
Chicago, IL 60689

799 Denison Ct
Fl 2
Bloomfld Hls, MI 48302
Phone (248) 630-4333

42645 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 286-0050

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 380
Grosse Pointe Woods, MI 48236
Phone (313) 343-4437

25990 Crocker Blvd
Harrison Twp, MI 48045
Phone (586) 466-5211

17900 23 Mile Rd
Ste 306
Macomb, MI 48044
Phone (313) 647-3900

17700 23 Mile Rd
Ste 303
Macomb, MI 48044
Phone (313) 343-7900

48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

13350 24 Mile Rd
Ste 700
Shelby Township, MI 48315
Phone (586) 254-2777

21000 E 12 Mile Rd
Ste 105
St Clr Shores, MI 48081
Phone (586) 498-3606

13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

Interoperability endpoints

  • Direct secure messaging: jrohrborn1149461@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/15471/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • Direct secure messaging: jrohrborn@landmarkhealth-direct.org
  • Direct secure messaging: jennifer.rohrborn.1@15471.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1598091704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26025 LAHSER RD",
            "address_2": "2ND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332606",
            "telephone_number": "248-663-1900",
            "fax_number": "248-663-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 W 12 MILE RD STE 195",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343390",
            "telephone_number": "313-306-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26025 Lahser Rd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1900",
            "fax_number": "248-663-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHRBORN",
        "first_name": "JENNIFER",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704196918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE",
            "identifier": "4704196918",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.