Jennifer Harmon Battiste, MD
Individual provider Active NPI Family Medicine Physician · Caledonia, MI
NPI 1629021985 · NPPES record last updated Jul 14, 2011
Key facts
- NPI
- 1629021985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301065950 (MI)
- Practice address
- 7115 Kalamazoo Ave SE
Suite a
Caledonia, MI 49316 - Phone
- (616) 583-0958
- Fax
- (616) 583-0961
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7125 Kraft Ave SE
Caledonia, MI 49316-9460
Phone (616) 583-0958
Hospital & facility affiliations
- University of Michigan Health - West
- Spectrum Health
- Mercy Health Saint Mary'S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060907000235 | MI | Practitioner - Family Practice | 5193729077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301065950 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battiste Family Medicine PLC | Current |
Accepting new patients | |
| Advantage Health Physicians PC | Family Medicine | Past | Accepting new patients |
| Healthy Heart Cardiology, PLC | Past | Accepting new patients |
Locations
7125 Kraft Ave SE
Caledonia, MI 49316
Phone (616) 583-0958
7115 Kalamazoo Ave SE
Ste A
Caledonia, MI 49316
Phone (616) 583-0958
7125 Kraft Ave SE
Ste A
Caledonia, MI 49316
Phone (616) 583-0958
Interoperability endpoints
- jennifer.battiste.1@30763.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301065950 | MI | Yes |
Addresses
Primary practice location
7115 Kalamazoo Ave SE
Suite a
Caledonia, MI 49316
Mailing address
7115 Kalamazoo Ave SE
Suite a
Caledonia, MI 49316
Phone (616) 583-0958
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4320803 | Medicaid | MI | |
| 4877124 | Medicaid | MI | |
| 4289089 | Medicaid | MI | |
| 4283693 | Medicaid | MI | |
| 4289070 | Medicaid | MI |
Other providers in Caledonia, MI
- Richard Basarabski
- Michael Scott Bassett
- Leann Nicole Bastien
- Jennifer Ann Bathrick
- Battiste Family Medicine PLC
- Giuseppina Beauch
- Steven P Bergman
- Samantha Marie Bergwerff
- Beurkens Autism Consulting, Inc.
- Nicole Michelle Beurkens
All providers in Caledonia, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.