Individual provider Active NPI

Jillian A Price, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pinckney, MI
National Provider Identifier
1679054613
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704291761 Issued in MI
Practice address
11103 McGregor Rd
Pinckney, MI 48169-9540
Phone
(734) 834-8181
NPI assigned
Aug 28, 2018
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 4704291761 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704291761 MI Primary

Addresses

Primary practice location

11103 McGregor Rd
Pinckney, MI 48169-9540

Mailing address

11103 McGregor Rd
Pinckney, MI 48169-9540
Phone (734) 834-8181

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
I20220923002827 MI Practitioner - Nurse Practitioner 2769867936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Mental Health PLLCGroup PAC ID 4789050188, 2 clinicians

Practice addresses (Care Compare)

5770 Highland Rd
Suite a
Waterford, MI 48327-1877
Phone (248) 618-3568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704291761MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Mental Health PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2022 Accepting new patients
HMH Management LLC CurrentSince Aug 14, 2022 Accepting new patients
Genuine Solutions Counseling Center Past Accepting new patients

Locations

5770 Highland Rd
Ste A
Waterford, MI 48327
Phone (248) 618-3568

Interoperability endpoints

  • Direct secure messaging: jillian.price.1@30302.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1679054613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 MCGREGOR RD",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699540",
            "telephone_number": "734-834-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 MCGREGOR RD",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699540",
            "telephone_number": "734-834-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JILLIAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704291761",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704291761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckney, MI

Sources for this page

Verify at the official NPI Registry.