Individual provider Active NPI

Sara Jestila, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1619745320
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09230235 Issued in MI
Practice address
531 Julian Ave
Lansing, MI 48917-2715
Phone
(517) 648-7234
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 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 F09230235 MI Primary

Addresses

Primary practice location

531 Julian Ave
Lansing, MI 48917-2715

Mailing address

531 Julian Ave
Lansing, MI 48917-2715
Phone (517) 648-7234

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
I20240806001298 MI Practitioner - Nurse Practitioner 8527505700 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital Association 698 clinicians

Practice addresses (Care Compare)

2682 E Grand River Ave
Sparrow Urgent Care East Lansing
East Lansing, MI 48823-5608
Phone (517) 333-6562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09230235MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Oct 6, 2024 Accepting new patients
Sparrow Carson Hospital CurrentSince Oct 6, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Oct 6, 2024 Accepting new patients
Sparrow Carson Hospital CurrentSince Oct 6, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 6, 2024 Accepting new patients
Sparrow Ionia Hospital Family CurrentSince Oct 6, 2024 Accepting new patients
Bosworth Urgent Care, PC CurrentSince Jun 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Bosworth Urgent Care PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308

616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1881 W Grand River Ave
Okemos, MI 48864
Phone (517) 339-2100

Organizations & group practices 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1619745320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 JULIAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172715",
            "telephone_number": "517-648-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 JULIAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172715",
            "telephone_number": "517-648-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTILA",
        "first_name": "SARA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F09230235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.