Individual provider Active NPI

Jessica Diane Hamel, FNP-C

  • Family Nurse Practitioner
  • Okemos, MI
National Provider Identifier
1689173023
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704253910 Issued in MI
Practice address
2390 Woodlake Dr Ste 380
Okemos, MI 48864-6018
Phone
(517) 333-7113
Fax
(517) 333-7125
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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 4704253910 MI Primary

Addresses

Primary practice location

2390 Woodlake Dr Ste 380
Okemos, MI 48864-6018

Mailing address

426 W Maple St
Mason, MI 48854-1520
Phone (517) 525-1466

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
I20190123002209 MI Practitioner - Nurse Practitioner 2264779669 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Sparrow Eaton Hospital CurrentSince Oct 1, 2019 Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Oct 1, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients
Psych One PLLC PastSince Mar 1, 2011 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

1415 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-4809

1415 S Main St
Ste B
Eaton Rapids, MI 48827
Phone (517) 781-4999

1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1689173023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 W MAPLE ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541520",
            "telephone_number": "517-525-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 WOODLAKE DR STE 380",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646018",
            "telephone_number": "517-333-7113",
            "fax_number": "517-333-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "JESSICA",
        "middle_name": "DIANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704253910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.