Individual provider Active NPI

Jessica Taher, NP

  • Nurse Practitioner
  • Novi, MI
National Provider Identifier
1639916844
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704377852 Issued in MI
Practice address
31182 Novi Rd
Novi, MI 48377-4545
Phone
(248) 927-1757
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704377852 MI Primary
Registered Nurse 163W00000X 1113649 WI
Registered Nurse 163W00000X 4704377852 MI
Acute Care Nurse Practitioner 363LA2100X 15698 WI

Addresses

Primary practice location

31182 Novi Rd
Novi, MI 48377-4545

Mailing address

31182 Novi Rd
Novi, MI 48377-4545

Other names 1

  • Jessica Halling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240909001671 WI Practitioner - Nurse Practitioner 5092255745 Reassigns benefits to 1 organization
I20250802000229 MI Practitioner - Nurse Practitioner 5092255745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

31182 Novi Rd
Novi, MI 48377-4545
Phone (248) 890-9995

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1113649WIMDRegistered Nurse
15698WIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jose S Evangelista III MD PC CurrentSince Nov 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 11, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 11, 2024 Accepting new patients
Advanced Wound Care and Hyperbaric Medicine of Michigan PC CurrentSince Nov 1, 2025 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 4, 2025 Accepting new patients
A. Peter Evangelista, MD, PC Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

10475 Farmington Rd
Livonia, MI 48150
Phone (734) 427-8081

31182 Novi Rd
Novi, MI 48377
Phone (248) 859-4231

31215 Novi Rd
Novi, MI 48377
Phone (248) 624-8800

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

26901 Beaumont Blvd
#3D
Southfield, MI 48033

44199 Dequindre Rd
Ste G10
Troy, MI 48085
Phone (248) 828-6111

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: jhalling1728952@epic00.shdirect.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1639916844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31182 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31182 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774545",
            "telephone_number": "248-927-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704377852",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "1113649",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704377852",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "15698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HALLING",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.