Active NPI
Jessica Lynn Zwolinski, NP
- Family Nurse Practitioner
- Caledonia, MI
National Provider Identifier
1619340403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.17640-NP
- Practice address
- 1661 Crystal Springs Blvd SE
Caledonia, MI 49316-7478 - Phone
- (616) 326-0114
- Fax
- (616) 369-3790
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.17640-NP | OH | Primary |
Addresses
Primary practice location
1661 Crystal Springs Blvd SE
Caledonia, MI 49316-7478
Mailing address
1661 Crystal Springs Blvd SE
Suite 150
Caledonia, MI 49316-4461
Phone (616) 326-0114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158596 | Medicaid | OH |
Other names 1
- Jessica Lynn Schneider
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180427001386 | MI | Practitioner - Nurse Practitioner | 1759687601 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Derm Institute of West Michigan PLC
Practice addresses (Care Compare)
1661 Crystal Springs Blvd SE
Caledonia, MI 49316-7478
Phone (616) 326-0114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Institute of West Michigan PLC | Current | Accepting new patients | |
| Living Well Ohio | Past | Accepting new patients |
Locations
1661 Crystal Springs Blvd SE
Ste 150
Caledonia, MI 49316
1661 Crystal Springs Blvd SE
Caledonia, MI 49316
Phone (616) 326-0114
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00097
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 and National Provider Directory roles.
-
- Other Technician
- Lexington, KY
- NPI 1609206390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1619340403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 CRYSTAL SPRINGS BLVD SE",
"address_2": "SUITE 150",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493164461",
"telephone_number": "616-326-0114",
"fax_number": "616-369-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 CRYSTAL SPRINGS BLVD SE",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493167478",
"telephone_number": "616-326-0114",
"fax_number": "616-369-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWOLINSKI",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.17640-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158596",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SCHNEIDER",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Caledonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.