Individual provider Active NPI

Jenna Leigh Fox

  • Physician Assistant
  • Mount Pleasant, MI
National Provider Identifier
1689264202
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
138 S Lincoln Rd
Mount Pleasant, MI 48858-9048
Phone
(989) 621-9787
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

138 S Lincoln Rd
Mount Pleasant, MI 48858-9048

Mailing address

138 S Lincoln Rd
Mount Pleasant, MI 48858-9048
Phone (989) 621-9787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220804003741 FL Practitioner - Physician Assistant 9931581055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Spine and Joint LLCGroup PAC ID 6406164011, 9 clinicians
Premier Neurospine Institute, LLCGroup PAC ID 2860721941, 9 clinicians

Practice addresses (Care Compare)

10726 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone (813) 331-4465

10730 Ketchum Valley Dr
Riverview, FL 33579-7185

5800 49TH St N
Suite 201
St Petersburg, FL 33709-2100
Phone (727) 605-1770

Hospital & facility affiliations

  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Neurospine Institute, LLC CurrentSince Dec 15, 2025 Accepting new patients
Unique Management Group Past Accepting new patients

Locations

601 7th St S
Ste 495
St Petersburg, FL 33701
Phone (727) 289-5932

5800 49th St N
Ste 201
St Petersburg, FL 33709
Phone (727) 605-1770

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 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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1689264202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S LINCOLN RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589048",
            "telephone_number": "989-621-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S LINCOLN RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589048",
            "telephone_number": "989-621-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.