Jennifer Lynn Krishnan, M.S. PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601006682 Issued in MI

Practice address

36800 Woodward Ave Ste 112
Bloomfield Hills, MI 48304-0916

Phone

(947) 274-8300

Fax

(947) 243-3301

NPI assigned

Jun 10, 2013

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Interoperability endpoints

• Direct secure messaging: jkrishnan1242439@epic00.shdirect.org

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1609214972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N ALEXANDER AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673607",
            "telephone_number": "313-318-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVE STE 112",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040916",
            "telephone_number": "947-274-8300",
            "fax_number": "947-243-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.S. PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601006682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenon Paul Kossak, DDS, MD
• Shirin Koudsi
• Michael Kozlowski, D.C.
• Susan Krawczyk, M.A., CCC-SLP
• Antoinette Marie Kreager, ANP-BC
• Shankar Lakshminarayanan Krishnan, PT, DPT
• Kristen Ghersi Hurrell PHD PLLC
• Kristin Keskey MD PC
• Kristin Keskey MD, PC.
• Tara Elizabeth Kristock, CPNP-PC

• Surgical Physician Assistant in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.