Active NPI
James Michael Hogle Jr., RN, BSN, MSW, MS-NP
- Psychiatric/Mental Health Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704280816
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801069202 | MI | MD | Clinical Social Worker |
| 4704280816 | MI | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Health System | Clinical | Current | Accepting new patients |
| Genesee Health System | Current | Accepting new patients | |
| Brightside Medical, P.a. | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
-
dba Genesee Community Health Center
- Federally Qualified Health Center (FQHC)
- Flint, MI
- NPI 1962140137
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.