Individual provider Active NPI

Jennifer Appelman, NP

  • Family Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1710557947
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704298926 Issued in MI
Practice address
43928 Mound Rd Ste 100
Sterling Heights, MI 48314-2081
Phone
(586) 298-2357
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 4704298926 MI Primary

Addresses

Primary practice location

43928 Mound Rd Ste 100
Sterling Heights, MI 48314-2081

Mailing address

5384 Cambourne PL
West Bloomfield, MI 48322-4101
Phone (586) 770-2033

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://macombcancerspecialists.com

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
I20210726003669 MI Practitioner - Nurse Practitioner 5395148514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Infectious Disease Associates, PCGroup PAC ID 0648371898, 8 clinicians

Practice addresses (Care Compare)

13430 E 13 Mile Rd
Warren, MI 48088-3187
Phone (586) 427-1351

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704298926MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Infectious Disease Associates, PC CurrentSince Dec 27, 2021 Accepting new patients
Oakland Macomb Cancer Specialists, PC CurrentSince Jul 4, 2021 Accepting new patients
Macomb Family Services, Inc. CurrentSince Jul 4, 2021 Accepting new patients

Locations

43928 Mound Rd
Ste 100
Sterling Hts, MI 48314
Phone (586) 254-5660

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

13430 E 13 Mile Rd
Warren, MI 48088
Phone (248) 854-8999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1710557947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 CAMBOURNE PL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224101",
            "telephone_number": "586-770-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43928 MOUND RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142081",
            "telephone_number": "586-298-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPELMAN",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704298926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://macombcancerspecialists.com",
            "affiliation": "N",
            "address_1": "43928 Mound Rd Ste 100",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483142081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.