Individual provider Active NPI

Jasleen Khalid Jarbo, FNP-C

  • Family Nurse Practitioner
  • West Bloomfield, MI
National Provider Identifier
1689440737
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704275438 Issued in MI
Practice address
7393 Oak Tree Dr
West Bloomfield, MI 48322-3129
Phone
(248) 345-7959
NPI assigned
Nov 29, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 4704275438 MI Primary

Addresses

Primary practice location

7393 Oak Tree Dr
West Bloomfield, MI 48322-3129

Mailing address

7393 Oak Tree Dr
West Bloomfield, MI 48322-3129
Phone (248) 345-7959

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
I20241009000351 MI Practitioner - Nurse Practitioner 6608307012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland Univ, William Beaumont School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Rehabilitation Medicine PCGroup PAC ID 1759450323, 31 clinicians

Practice addresses (Care Compare)

9640 Commerce Rd
Suite 202
Commerce TWP, MI 48382-4168
Phone (248) 360-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Rehabilitation Medicine PC CurrentSince Sep 3, 2024 Accepting new patients

Locations

43344 Woodward Ave
Bloomfld Hls, MI 48302
Phone (248) 335-9099

9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660

1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738

1135 W University Dr
Ste 425
Rochester Hls, MI 48307
Phone (248) 650-5861

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1689440737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7393 OAK TREE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223129",
            "telephone_number": "248-345-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7393 OAK TREE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223129",
            "telephone_number": "248-345-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARBO",
        "first_name": "JASLEEN",
        "middle_name": "KHALID",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704275438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.