Individual provider Active NPI

Hannah Joy Dejong, FNP

  • Family Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1679117402
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704321431 Issued in MI
Practice address
1575 Ramblewood Dr
East Lansing, MI 48823-6384
Phone
(517) 827-1800
Fax
(517) 827-1805
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704321431 MI Primary

Addresses

Primary practice location

1575 Ramblewood Dr
East Lansing, MI 48823-6384

Mailing address

2175 Coolidge Rd
East Lansing, MI 48823-1379
Phone (517) 827-1800

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
I20200918000422 MI Practitioner - Nurse Practitioner 9133547417 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
Group practices
Compass Healthcare, PLLCGroup PAC ID 6002045895, 23 clinicians

Practice addresses (Care Compare)

1575 Ramblewood Dr
Suite 200
East Lansing, MI 48823-6384
Phone (517) 827-1800

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704321431MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Healthcare, PLLC CurrentSince Mar 20, 2023 Accepting new patients
Compass Healthcare PLC CurrentSince Mar 20, 2023 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

2175 Coolidge Rd
Ste 200
East Lansing, MI 48823
Phone (517) 999-5900

1575 Ramblewood Dr
Ste 200
East Lansing, MI 48823
Phone (517) 827-1800

2175 Coolidge Rd
East Lansing, MI 48823
Phone (517) 349-1379

1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659

1575 Ramblewood Dr
East Lansing, MI 48823
Phone (517) 332-3500

Interoperability endpoints

  • Direct secure messaging: hdejong103518@direct.covenanthealthcare.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 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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1679117402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231379",
            "telephone_number": "517-827-1800",
            "fax_number": "517-827-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 RAMBLEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236384",
            "telephone_number": "517-827-1800",
            "fax_number": "517-827-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJONG",
        "first_name": "HANNAH",
        "middle_name": "JOY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704321431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.