Jasmine Marie Bollus, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704340664 Issued in MI

Practice address

318 Meadow Brook Rd
Rochester, MI 48309-4454

Phone

(248) 370-2100

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reza Kahnamouei MD PLLC

  • Adult Medicine Physician
  • Clinton TWP, MI
  • NPI 1861753725
  Medicare reassignment NPD
• Reza Kahnamouei MD PLLC

  dba Total Care Physicians Group

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1619339918
  NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1700615556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MEADOW BROOK RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483094454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MEADOW BROOK RD",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483094454",
            "telephone_number": "248-370-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLUS",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704340664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemari A Biondo, MA
• Frederick Alan Bittner, MD
• Jeremy Bliss, CRNA
• Bohdan N Zarewych D.O.P.C.
• Leslie Bolling, SOCIAL WORKER
• Renee Patrice Boyle
• Bradley J. Gauthier, DDS, Ms, PC
• Kristin Dickhoner Brandstetter, RD
• Amanda Chivu Brannick, M.D.
• Breakwater Oral and Maxillofacial Surgery PLLC (Great Oaks Periodontics & Dental Implants)

• Family Nurse Practitioner in Rochester, MI
• Providers in Rochester, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.