Individual provider Active NPI

Caitlin Elizabeth Breitmeyer, FNP-C

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1609425149
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704307240 Issued in MI
Practice address
1201 E Michigan Ave Ste 3a
Jackson, MI 49201-1852
Phone
(517) 205-1591
Fax
(517) 782-1713
NPI assigned
Sep 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704307240 MI Primary

Addresses

Primary practice location

1201 E Michigan Ave Ste 3a
Jackson, MI 49201-1852

Mailing address

1201 E Michigan Ave Ste 240
Jackson, MI 49201-1855
Phone (517) 205-1591

Other practice location 1

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-5806

Other practice location 2

4060 Rochester Rd
Troy, MI 48085-4923
Phone (248) 250-6420

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
I20191025001973 MI Practitioner - Nurse Practitioner 6103158019 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753
Phone (217) 787-9322

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704307240MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care Southfield CurrentSince Aug 1, 2020 Accepting new patients
Shelby Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Apr 17, 2021 Accepting new patients
Clinton Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Apr 17, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc Family CurrentSince Aug 2, 2023 Accepting new patients
Canton Urgent Care Walk-in Clinic PC CurrentSince Sep 1, 2019 Accepting new patients
Taylor Urgent Care PC CurrentSince Sep 1, 2019 Accepting new patients
Chesterfield Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Sterling Heights Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Commerce Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Henry Ford Health System CurrentSince Oct 11, 2023 Accepting new patients
Rochester Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Aug 2, 2023 Accepting new patients
Troy Urgent Care Walk-in Clinic CurrentSince Mar 1, 2020 Accepting new patients
Henry Ford Health System Family CurrentSince Oct 11, 2023 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC PastSince Jul 31, 2022 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

43033 Ford Rd
Canton, MI 48187
Phone (734) 927-5050

51160 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 221-1805

37150 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 267-1334

2900 Union Lake Rd
Ste 110
Commerce Twp, MI 48382
Phone (248) 242-6049

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

25950 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 803-0672

1201 E Michigan Ave
Ste 240
Jackson, MI 49201
Phone (517) 205-1591

1201 E Michigan Ave
Ste 3A
Jackson, MI 49201
Phone (517) 205-1591

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1201 E Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 204-4841

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2915 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-0022

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 991-5205

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Fl 5
Southfield, MI 48075
Phone (248) 849-3441

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

43722 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 262-4277

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

4060 Rochester Rd
Troy, MI 48085
Phone (248) 250-6420

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

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": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1609425149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 240",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011855",
            "telephone_number": "517-205-1591",
            "fax_number": "517-782-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 3A",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011852",
            "telephone_number": "517-205-1591",
            "fax_number": "517-782-1713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16001 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-849-5806",
            "fax_number": "248-849-5489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4060 Rochester Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480854923",
            "country_code": "US",
            "telephone_number": "248-250-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREITMEYER",
        "first_name": "CAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.