NPIMap

Individual provider Active NPI

Jennifer Marie Nowasielski, D.O.

  • Obstetrics & Gynecology Physician
  • Warren, MI
National Provider Identifier
1790991909
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101016144 Issued in MI
Practice address
30117 Schoenherr Rd Ste 400
Warren, MI 48088-6854
Phone
(586) 558-4848
Fax
(586) 558-4893
NPI assigned
May 15, 2007
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016144 MI Primary

Addresses

Primary practice location

30117 Schoenherr Rd Ste 400
Warren, MI 48088-6854

Mailing address

24633 Park Terrace Dr
Harrison TWP, MI 48045-6685
Phone (586) 792-6625

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
I20080731000769 MI Practitioner - Obstetrics/Gynecology 8527132026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

30051 Schoenherr Rd
Warren, MI 48088-3124
Phone (586) 558-4848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016144MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Dec 24, 2024 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Obstetrics & Gynecology CurrentSince Jul 1, 2010 Accepting new patients
Ascension Medical Group Michigan Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jul 1, 2010 Accepting new patients
Henry Ford Health St. John Hospital Obstetrics & Gynecology CurrentSince Dec 24, 2024 Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology Current Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Henry Ford Semi Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

35050 23 Mile Rd
Ste E
New Baltimore, MI 48047
Phone (586) 716-1444

11900 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5890

11900 E 12 Mile Rd
Ste 210
Warren, MI 48093
Phone (586) 558-4700

30051 Schoenherr Rd
Warren, MI 48088
Phone (586) 552-4848

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Organizations & group practices 11

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 3

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1790991909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24633 PARK TERRACE DR",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480456685",
            "telephone_number": "586-792-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30117 SCHOENHERR RD STE 400",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886854",
            "telephone_number": "586-558-4848",
            "fax_number": "586-558-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWASIELSKI",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.