Individual provider Active NPI

Jennifer Serrano Aguirre, FNP

  • Family Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1710758149
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704344069 Issued in MI
Practice address
5380 Margaret Ave
Ypsilanti, MI 48197-9328
Phone
(734) 883-4540
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 4704344069 MI Primary

Addresses

Primary practice location

5380 Margaret Ave
Ypsilanti, MI 48197-9328

Mailing address

5380 Margaret Ave
Ypsilanti, MI 48197-9328
Phone (734) 883-4540

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
I20241105003229 MI Order and Referring Only - Nurse Practitioner 1254865892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704344069MIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.aguirre.1@27127.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1710758149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 MARGARET AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979328",
            "telephone_number": "734-883-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 MARGARET AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979328",
            "telephone_number": "734-883-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "JENNIFER",
        "middle_name": "SERRANO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704344069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.