NPIMap

Individual provider Active NPI

Jamie Lynn Longhurst, DO

  • Family Medicine Physician
  • Marshall, MI
National Provider Identifier
1790983609
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101017343 Issued in MI
Practice address
800 Industrial Rd
Marshall, MI 49068-1743
Phone
(517) 490-1216
Fax
(269) 233-5265
NPI assigned
Jul 3, 2007
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101017343 MI Primary

Addresses

Primary practice location

800 Industrial Rd
Marshall, MI 49068-1743

Mailing address

800 Industrial Rd
Marshall, MI 49068-1743
Phone (517) 490-1216

Other names 1

  • Jamie Lynn Longhurst Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000810 MI Practitioner - Family Practice 4789714395 Reassigns benefits to 3 organizations
Practice locations: Marshall, MI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

212 Winston Dr
Bronson Internal Medicine Marshall
Marshall, MI 49068-8526
Phone (269) 245-5460

800 Industrial Rd
Marshall, MI 49068-1743
Phone (269) 248-6401

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Bronson Battle Creek Hospital Family Medicine CurrentSince Jun 25, 2017 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Bronson Methodist Hospital CurrentSince Jul 1, 2016 Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine Current Accepting new patients
Jamie Lynn Longhurst CurrentSince Nov 15, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jun 25, 2017 Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

1820 Shaffer St
Kalamazoo, MI 49048
Phone (269) 381-7136

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

212 Winston Dr
Marshall, MI 49068
Phone (269) 245-5460

800 Industrial Rd
Marshall, MI 49068
Phone (269) 248-6401

Interoperability endpoints

  • Direct secure messaging: jamie.longhurst@396882619334660.direct.elationemr.com

Organizations & group practices 7

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 6

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1790983609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 INDUSTRIAL RD",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681743",
            "telephone_number": "517-490-1216",
            "fax_number": "269-233-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 INDUSTRIAL RD",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681743",
            "telephone_number": "517-490-1216",
            "fax_number": "269-233-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGHURST",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101017343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LONGHURST",
            "middle_name": "LYNN",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.