Jessica Michele Vanslambrouck, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704373660 Issued in MI

Practice address

18001 Rotunda Dr
Dearborn, MI 48124-3984

Phone

(313) 633-2600

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Nurse Practitioner

Education

University of Toledo College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VR Jasty MD PLCGroup PAC ID 4284605874, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• VR Jasty MD PLC

  • Geriatric Psychiatry Physician
  • Auburn Hills, MI
  • NPI 1780746602

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mi Pacs 2 PC

  • Hospitalist Physician
  • Northville, MI
  • NPI 1205418357

  Single Specialty

  Medicare reassignment NPD
• Michigan Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Brighton, MI
  • NPI 1669901567

  Single Specialty

  Medicare reassignment NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  MI, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1780441899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 REGINA AVE",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462599",
            "telephone_number": "734-693-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 ROTUNDA DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243984",
            "telephone_number": "313-633-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSLAMBROUCK",
        "first_name": "JESSICA",
        "middle_name": "MICHELE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704373660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah Van Pelt
• Peter H. Van Well, P.T.
• Linda Kay Vanacker, LMSW
• Joshua G Vander Weide, DDS
• J. Montgomery Vandyke
• Neeraja Varanasi, MD
• Mya Vargas
• Melissa May Vargo, AGACNP-BC
• Alissa Rae Varton, DPT
• Christopher Franklin Vaughns II, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.

Verify at the official NPI Registry.