Jeanette A Bacci, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704318901 Issued in MI

Practice address

30600 Telegraph Rd Ste 4000
Bingham Farms, MI 48025-5726

Phone

(248) 593-0100

NPI assigned

Sep 2, 2020

Last updated

Dec 15, 2025By 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 PA, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeanette.bacci.1@10474.direct.athenahealth.com

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.

• Patina Medical Group, PC

  • Primary Care Clinic/Center
  • Charlotte, NC
  • NPI 1467147710
  Medicare reassignment NPD
• Patina Medical Group, PC

  • Primary Care Clinic/Center
  • Bala Cynwyd, PA
  • NPI 1801568910
  Medicare reassignment NPD
• United Physicians, Inc.

  • Case Management Agency
  • Bingham Farms, MI
  • NPI 1285022152
  NPD (past)
• McFatter Family Medical, LLC

  • Urgent Care Clinic/Center
  • Ridgeland, MS
  • NPI 1811660293
  NPD (past)
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092
  NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1730793241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "248-593-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 4000",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255726",
            "telephone_number": "248-593-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Investment Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480986368",
            "country_code": "US",
            "telephone_number": "248-267-5000",
            "fax_number": "248-267-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 South Blvd E Ste 150",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076115",
            "country_code": "US",
            "telephone_number": "248-997-7000",
            "fax_number": "248-997-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACCI",
        "first_name": "JEANETTE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704318901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnice Avery
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• Joshua Azucena
• Marissa Elizabeth Baca, MD
• Neal Bachert
• Ashley Rose Bailey
• Daria Imani Bailey
• John Christopher Bajorek
• Madison Lynn-Grayce Baker

• Nurse Practitioner in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.