Individual provider Active NPI

Jamie Lemke, AGACNP-BC

  • Nurse Practitioner
  • Center Line, MI
National Provider Identifier
1790270213
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704258540 Issued in MI
Practice address
8444 Engleman
Center Line, MI 48015-1567
Phone
(586) 441-1256
Fax
(586) 204-0181
NPI assigned
Jun 27, 2018
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704258540 MI Primary

Addresses

Primary practice location

8444 Engleman
Center Line, MI 48015-1567

Mailing address

8444 Engleman
Center Line, MI 48015-1567
Phone (586) 441-1256

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlemke646939@direct.UNC.nchie.net Direct

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
I20180911002859 MI Practitioner - Nurse Practitioner 4082964168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704258540MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA Gerontology CurrentSince Aug 1, 2024 Accepting new patients
Longevity Accountable Care, PA Gerontology CurrentSince Aug 1, 2024 Accepting new patients

Locations

8444 Engleman
Center Line, MI 48015
Phone (586) 755-1488

8045 E Jefferson Ave
Detroit, MI 48214
Phone (313) 821-3525

2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000

Interoperability endpoints

  • Direct secure messaging: jlemke646939@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1790270213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 ENGLEMAN",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151567",
            "telephone_number": "586-441-1256",
            "fax_number": "586-204-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8444 ENGLEMAN",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151567",
            "telephone_number": "586-441-1256",
            "fax_number": "586-204-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "JAMIE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704258540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlemke646939@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl Ste 200",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.