Individual provider Active NPI

Jessica Belill, FNP-C

  • Family Nurse Practitioner
  • Marlette, MI
National Provider Identifier
1790407526
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704276243 Issued in MI
Practice address
2780 Main St
Marlette, MI 48453-1141
Phone
(989) 239-8984
NPI assigned
Sep 19, 2022
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 4704276243 MI Primary

Addresses

Primary practice location

2780 Main St
Marlette, MI 48453-1141

Mailing address

9 Oxford Knoll CT
Frankenmuth, MI 48734-9305

Other practice location 1

4675 Hill St Ste C
Cass City, MI 48726-1008
Phone (989) 912-6543

Other names 1

  • Jessica Peterson Former name

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
I20220928001710 MI Practitioner - Nurse Practitioner 4082090071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

2770 Main St
Marlette, MI 48453-1141
Phone (989) 635-4344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704276243MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 23, 2022 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

4675 Hill St
Ste C
Cass City, MI 48726
Phone (989) 912-6543

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2780 Main St
Marlette, MI 48453
Phone (989) 635-1050

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

2970 Pierce Rd
Saginaw, MI 48604
Phone (989) 583-0280

Interoperability endpoints

  • Direct secure messaging: jbelill113956@direct.covenanthealthcare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1790407526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OXFORD KNOLL CT",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487349305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "989-239-8984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4675 Hill St Ste C",
            "address_purpose": "LOCATION",
            "city": "Cass City",
            "state": "MI",
            "postal_code": "487261008",
            "country_code": "US",
            "telephone_number": "989-912-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELILL",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704276243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PETERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlette, MI

Sources for this page

Verify at the official NPI Registry.