Individual provider Active NPI

Jennifer L Jehle, NP

  • Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1619271830
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704248140 Issued in MI
Practice address
44344 Dequindre Rd
Suite 260
Sterling Heights, MI 48314-1038
Phone
(586) 323-1500
NPI assigned
Jan 3, 2011
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704248140 MI Primary

Addresses

Primary practice location

44344 Dequindre Rd
Suite 260
Sterling Heights, MI 48314-1038

Mailing address

44344 Dequindre Rd Ste 260
Sterling Heights, MI 48314-1040

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
I20110211000750 MI Practitioner - Nurse Practitioner 0648450395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

44344 Dequindre Rd
Suite 310
Sterling Heights, MI 48314-1040
Phone (586) 997-3530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704248140MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Oct 1, 2017 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 1, 2017 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

53960 Van Dyke Ave
Shelby Township, MI 48316
Phone (586) 323-1500

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

44344 Dequindre Rd
Ste 260
Sterling Heights, MI 48314
Phone (586) 323-1500

44344 Dequindre Rd
Ste 310
Sterling Heights, MI 48314
Phone (586) 997-3530

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1619271830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD STE 260",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 260",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-323-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEHLE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704248140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.