Individual provider Active NPI

Jane Brines, NP-C

  • Family Nurse Practitioner
  • Midland, MI
National Provider Identifier
1720590128
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704304437 Issued in MI
Practice address
5310 Perrine Rd
Midland, MI 48640-3111
Phone
(989) 600-6691
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704304437 MI
Family Nurse Practitioner 363LF0000X 4704304437 MI Primary

Addresses

Primary practice location

5310 Perrine Rd
Midland, MI 48640-3111

Mailing address

5310 Perrine Rd
Midland, MI 48640-3111
Phone (989) 600-6691

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
I20180222001576 MI Practitioner - Nurse Practitioner 4789945395 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704304437MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Nov 24, 2020 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Feb 4, 2018 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 24, 2020 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Nurse Practitioner CurrentSince Feb 4, 2018 Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1720590128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 PERRINE RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403111",
            "telephone_number": "989-600-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 PERRINE RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403111",
            "telephone_number": "989-600-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINES",
        "first_name": "JANE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704304437",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.