Janelle Anne Yono-Boji
Individual provider Active NPI Acute Care Nurse Practitioner · Royal Oak, MI
NPI 1669971156 · NPPES record last updated May 11, 2018
Key facts
- NPI
- 1669971156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4704296762 (MI)
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 - Phone
- (248) 898-5000
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Wayne State University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Premier Geriatrics PLLC
Practice addresses (Care Compare)
29877 Telegraph Rd
Suite 200
Southfield, MI 48034-7659
Phone (248) 354-0730
Hospital & facility affiliations
- Straith Hospital for Special Surgery
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231205000432 | MI | Practitioner - Nurse Practitioner | 2961850714 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704296762 | MI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Premier Geriatrics PLLC | Current |
Accepting new patients |
Locations
29877 Telegraph Rd
Ste 2
Southfield, MI 48034
29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730
Interoperability endpoints
- janelle.yono-boji.1@11987.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704296762 | MI | Yes |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
NPI Registry JSON
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1669971156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YONO-BOJI",
"first_name": "JANELLE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704296762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
- Yong Hao Yeo
- Madhurima Yerra
- Mark B Yestrepsky
- Martha Ying
- Lavanya Yohanathan
- Frank Joseph Yono
- John Richard Young
- Natashia Young
- Jennifer Jean Younglove
- Wessam Yousef
All providers in Royal Oak, MI · Acute Care Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2018. 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.