Individual provider Active NPI

Holly Jennifer Jaskierny, D.O.

  • Obstetrics Physician
  • Grand Blanc, MI
National Provider Identifier
1669416079
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
5101015227 Issued in MI
Practice address
1620 Genesys Pkwy
Grand Blanc, MI 48439-2560
Phone
(810) 606-7190
Fax
(810) 606-7186
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 5101015227 MI Primary

Addresses

Primary practice location

1620 Genesys Pkwy
Grand Blanc, MI 48439-2560

Mailing address

1620 Genesys Pkwy
Grand Blanc, MI 48439-2560
Phone (810) 606-7190

Other identifiers 10

IdentifierTypeStateIssuer
01003097OtherMIHEALTH PLUS OF MI
7049860OtherMIAETNA
I60137OtherMIHEALTH ALLIANCE PLAN
01003097OtherMIGENESEE HEALTH PLAN
BCBSOtherMI160B511630
BLUECARE NETWORKOtherMI160B511630
4928770MedicaidMI
17635OtherMIMCARE
382626196OtherMIPPOM
38895OtherMIHEALTH PLAN OF MI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hollyjaskierny@migra.allscriptsdirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061009000041 MI Practitioner - Obstetrics/Gynecology 7214933647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians
Henry Ford Health Genesys HospitalGroup PAC ID 2062323033, 85 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550

420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Sep 13, 2010 Accepting new patients
Henry Ford Health Genesys Hospital Obstetrics & Gynecology CurrentSince Sep 13, 2010 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Genesys Practice Partners Inc CurrentSince Apr 28, 2019 Accepting new patients
Genesys Practice Partners, Inc CurrentSince Apr 28, 2019 Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Genesys Practice Partners Inc Past Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

5445 Ali Dr
Grand Blanc, MI 48439
Phone (810) 428-1181

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

7057 N Clio Rd
Mount Morris, MI 48458
Phone (810) 564-2555

Interoperability endpoints

  • Direct secure messaging: hjaskierny1133291@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 8

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 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1669416079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392560",
            "telephone_number": "810-606-7190",
            "fax_number": "810-606-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392560",
            "telephone_number": "810-606-7190",
            "fax_number": "810-606-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKIERNY",
        "first_name": "HOLLY",
        "middle_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "5101015227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MI",
            "identifier": "01003097",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7049860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "I60137",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENESEE HEALTH PLAN",
            "identifier": "01003097",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "160B511630",
            "identifier": "BCBS",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "160B511630",
            "identifier": "BLUECARE NETWORK",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4928770",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "17635",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "382626196",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "38895",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollyjaskierny@migra.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "420 S Saginaw St",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485021803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.