Individual provider Active NPI

Jessica Siminski, MSN, FNP

  • Family Nurse Practitioner
  • Owosso, MI
National Provider Identifier
1750773461
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704278664 Issued in MI
Practice address
300 Health Park Dr Ste 304
Owosso, MI 48867-1293
Phone
(989) 729-4222
Fax
(989) 729-4968
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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 4704278664 MI Primary

Addresses

Primary practice location

300 Health Park Dr Ste 304
Owosso, MI 48867-1293

Mailing address

300 Health Park Dr Ste 304
Owosso, MI 48867-1293
Phone (989) 729-4222

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
I20150402002081 MI Practitioner - Nurse Practitioner 7113244088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owosso Medical Associates PCGroup PAC ID 0244273241, 3 clinicians

Practice addresses (Care Compare)

300 Health Park Dr
Suite 304
Owosso, MI 48867-1293
Phone (989) 729-4222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704278664MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owosso Medical Associates PC CurrentSince Mar 16, 2015 Accepting new patients
Owosso Internal Medicine PC Current Accepting new patients

Locations

300 Health Park Dr
Ste 304
Owosso, MI 48867
Phone (989) 729-4222

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1750773461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK DR STE 304",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671293",
            "telephone_number": "989-729-4222",
            "fax_number": "989-729-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK DR STE 304",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671293",
            "telephone_number": "989-729-4222",
            "fax_number": "989-729-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMINSKI",
        "first_name": "JESSICA",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704278664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.