Individual provider Active NPI

Jessica A Martinelli, AGACNP-BC

  • Nurse Practitioner
  • Novi, MI
National Provider Identifier
1679154041
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020092618 Issued in MI
Practice address
41850 W 11 Mile Rd Ste 202
Novi, MI 48375-1857
Phone
(248) 660-1220
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020092618 MI Primary

Addresses

Primary practice location

41850 W 11 Mile Rd Ste 202
Novi, MI 48375-1857

Mailing address

41850 W 11 Mile Rd Ste 202
Novi, MI 48375-1857

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
I20210510001241 MI Practitioner - Nurse Practitioner 5991114662 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harpal S Jande MD PCGroup PAC ID 2264833524, 2 clinicians

Practice addresses (Care Compare)

3628 Piccadilly Dr
Rochester Hills, MI 48309-4535
Phone (248) 890-8440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.37 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020092618MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Harpal S Jande MD PC CurrentSince Jun 1, 2022 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Apr 26, 2021 Accepting new patients
Theoria Medical Nurse Practitioner Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

41850 W 11 Mile Rd
Ste 202
Novi, MI 48375
Phone (248) 380-0867

13794 21 Mile Rd
Shelby Township, MI 48315
Phone (586) 532-2100

Organizations & group practices 4

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 2

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": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1679154041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD STE 202",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD STE 202",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751857",
            "telephone_number": "248-660-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLI",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "2020092618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.