Individual provider Active NPI

Janaye Nichole Keifer, NP

  • Acute Care Nurse Practitioner
  • Three Rivers, MI
National Provider Identifier
1669982104
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704295544 Issued in MI
Practice address
701 S Health Pkwy
Three Rivers, MI 49093-8352
Phone
(269) 278-1145
Fax
(269) 273-9611
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704295544 MI
Acute Care Nurse Practitioner 363LA2100X 4704295544 MI Primary

Addresses

Primary practice location

701 S Health Pkwy
Three Rivers, MI 49093-8352

Mailing address

3245 Health Dr
Granger, IN 46530-1380

Other identifiers 1

IdentifierTypeStateIssuer
1669982104MedicaidMI

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
I20171127000254 MI Practitioner - Nurse Practitioner 3870850076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Health System IncGroup PAC ID 8729245584, 42 clinicians

Practice addresses (Care Compare)

701 S Health Pkwy
Three Rivers HLTH
Three Rivers, MI 49093-8352
Phone (574) 647-1817

Hospital & facility affiliations

  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704295544MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Health System, Inc CurrentSince Jan 29, 2023 Accepting new patients
Three Rivers Health System, Inc Current Accepting new patients
Three Rivers Health System, Inc CurrentSince Jan 29, 2023 Accepting new patients
Three Rivers Health Past Accepting new patients

Locations

3245 Health Dr
Granger, IN 46530

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

Organizations & group practices 10

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1669982104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-278-1145",
            "fax_number": "269-273-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIFER",
        "first_name": "JANAYE",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704295544",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704295544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669982104",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.