NPIMap

Individual provider Active NPI

Jenna McKeever

  • Family Nurse Practitioner
  • Westland, MI
National Provider Identifier
1689023244
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704256227 Issued in MI
Practice address
6149 N Wayne Rd
Westland, MI 48185-7128
Phone
(734) 728-2130
NPI assigned
Jun 5, 2016
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 4704256227 MI Primary

Addresses

Primary practice location

6149 N Wayne Rd
Westland, MI 48185-7128

Mailing address

PO Box 2444
Dalton, GA 30722-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727003093 MI Practitioner - Nurse Practitioner 4587957527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Geriatrics PLLCGroup PAC ID 6507128774, 6 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1014 Ctr Ave
Bay City, MI 48708-6102
Phone (989) 892-8493

110 N Auburn Rd
Auburn, MI 48611-9412
Phone (989) 662-2099

1119 Holyrood St
Midland, MI 48640-6309
Phone (989) 205-6076

1324 Vinewood St
Clare, MI 48617-1062
Phone (909) 386-4900

17935 Roosevelt Rd
Hemlock, MI 48626-8730
Phone (989) 642-4663

202 Plainview Dr
Auburn, MI 48611-9303
Phone (989) 662-7202

255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016

3932 Monitor Rd
Bay City, MI 48706-9298
Phone (989) 279-0213

413 N Homer Rd
Midland, MI 48640-8646
Phone (989) 832-6634

4130 Shrestha Dr
Bay City, MI 48706-2184
Phone (989) 545-6000

450 Quarter St
Gladwin, MI 48624-1971
Phone (989) 246-1000

4710 Stephanie St
Auburn, MI 48611-9220
Phone (989) 662-4100

5113 Reinhardt LN
Bay City, MI 48706-3256
Phone (989) 450-8769

520 Main St
Manistique, MI 49854-1522
Phone (906) 341-6921

5275 Mackinaw Rd
Saginaw, MI 48603-1223
Phone (989) 799-9600

568 N Pine Rd
Bay City, MI 48708-9190
Phone (989) 778-1713

734 N Pine Rd
Bay City, MI 48708-9178
Phone (989) 892-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Geriatrics PLLC CurrentSince Jun 23, 2018 Accepting new patients
Total Family Healthcare, PC CurrentSince Aug 1, 2017 Accepting new patients

Locations

946 W Midland Rd
Ste A
Auburn, MI 48611
Phone (989) 225-4740

1111 S Euclid Ave
Bay City, MI 48706
Phone (989) 439-1235

200 S Wenona St
Ste 225
Bay City, MI 48706
Phone (989) 893-9705

200 N Canton Center Rd
Canton, MI 48187
Phone (734) 656-8883

520 Main St
#M
Manistique, MI 49854
Phone (906) 341-6921

6149 N Wayne Rd
Westland, MI 48185
Phone (734) 728-1320

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1689023244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2444",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307222444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857128",
            "telephone_number": "734-728-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-05",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704256227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.