Active NPI
Shirley Anne Jakubec, M.D.
- Internal Medicine Physician
- Elkton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301084596
- Practice address
- 6 N Main St
Elkton, MI 48731-5137 - Phone
- (989) 375-2273
- NPI assigned
- May 30, 2006
- Last updated
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301084596 | MI | Primary |
Addresses
Primary practice location
6 N Main St
Elkton, MI 48731-5137
Mailing address
168 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-5210
Other practice location 1
168 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-2141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147287 | Other | MI | SHN HOSPITAL GLHP |
| 4685107 | Medicaid | MI | |
| 4671451 | Medicaid | MI |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 S Van Dyke
Bad Axe, MI 48413-9615
1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521
6 N Main St
Elkton, MI 48731-5137
Phone (989) 375-2273
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084596 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Thumb Region | Current | Accepting new patients | |
| Huron Pathology Services PC | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients |
Locations
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Huron Medical Center
- General Acute Care Hospital
- Bad Axe, MI
- NPI 1245257880
-
- Pulmonary Disease Physician
- Bad Axe, MI
- NPI 1265546899
-
- Rural Health Clinic/Center
- Port Austin, MI
- NPI 1558616086
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saginaw, MI
- NPI 1881643385
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
dba Scheurer Orthopedics
- Orthopaedic Surgery Physician
- Bad Axe, MI
- NPI 1023836947
Hospital
-
dba Scheurer Pain Management
- Interventional Pain Medicine Physician
- Pigeon, MI
- NPI 1336921659
Hospital
-
dba Scheurer General Surgery - Pigeon
- Surgery Physician
- Pigeon, MI
- NPI 1366574113
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1750338000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 N CASEVILLE RD",
"city": "PIGEON",
"state": "MI",
"postal_code": "487559704",
"telephone_number": "989-453-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 N MAIN ST",
"city": "ELKTON",
"state": "MI",
"postal_code": "487315137",
"telephone_number": "989-375-2273"
}
],
"practiceLocations": [
{
"address_1": "168 N Caseville Rd",
"address_purpose": "LOCATION",
"city": "Pigeon",
"state": "MI",
"postal_code": "487559704",
"country_code": "US",
"telephone_number": "989-453-2141",
"fax_number": "989-453-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAKUBEC",
"first_name": "SHIRLEY",
"middle_name": "ANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301084596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHN HOSPITAL GLHP",
"identifier": "147287",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4685107",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4671451",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.