Individual provider Active NPI

James Michael Hogle Jr., RN, BSN, MSW, MS-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1760710164
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704280816 Issued in MI
Practice address
11260 E Jefferson Ave
Detroit, MI 48214-3320
Phone
(313) 749-0148
NPI assigned
Nov 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801069202 MI
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704280816 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704280816 MI Primary

Addresses

Primary practice location

11260 E Jefferson Ave
Detroit, MI 48214-3320

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730

Other practice location 1

420 W Fifth Avenue
Flint, MI 48503-2445
Phone (810) 257-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20121120000390 MI Practitioner - Nurse Practitioner 3779734884 Reassigns benefits to 1 organization
I20230426001260 AZ Practitioner - Nurse Practitioner 3779734884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
6801069202MIMDClinical Social Worker
4704280816MIMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System Clinical CurrentSince Dec 16, 2019 Accepting new patients
Genesee Health System CurrentSince Dec 16, 2019 Accepting new patients
Brightside Medical, P.a. CurrentSince Jan 1, 2023 Accepting new patients
Osh-Mi Physicians Group PC Clinical Past Accepting new patients

Locations

3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

8059 W Preece Dr
Boise, ID 83704
Phone (208) 550-3112

4925 S Broadway Ave
Wichita, KS 67216
Phone (316) 227-1989

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

725 Mason St
Flint, MI 48503
Phone (810) 257-3736

Interoperability endpoints

  • Direct secure messaging: james.hoglepmhnpbc.p1@direct.gchc.nextgenshare.com

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": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1760710164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143320",
            "telephone_number": "313-749-0148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W FIFTH AVENUE",
            "address_purpose": "LOCATION",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032445",
            "country_code": "US",
            "telephone_number": "810-257-3724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGLE",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, BSN, MSW, MS-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-23",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069202",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704280816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704280816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.