Jennifer Melissa Legge, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704233177 Issued in MI

Practice address

1548 Hollywood Ave
Grosse Pointe Woods, MI 48236-1310

Phone

(586) 601-8346

NPI assigned

Aug 11, 2010

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

Other names 1

• Ms. Jennifer Melissa Wooten Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.legge.1@27127.direct.athenahealth.com
• Direct secure messaging: jwooten245585@direct.hfhs.org

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.

• Elizabeth Lake Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1538585260
  Medicare reassignment NPD
• Hospitalist Physicians Medical Group of Michigan, PC

  • Emergency Medicine Physician
  • Chelsea, MI
  • NPI 1003978867

  Nurse Practitioner

  Medicare reassignment NPD
• Lakeside Urgent Care, P. C.

  • Urgent Care Clinic/Center
  • Clinton Township, MI
  • NPI 1720159304
  Medicare reassignment NPD
• Michigan Infectious Disease Associates, PC

  • Infectious Disease Physician
  • Warren, MI
  • NPI 1336346030
  Medicare reassignment NPD
• Muksi, LLC

  • Family Medicine Physician
  • Lathrup Village, MI
  • NPI 1003084492
  Medicare reassignment NPD
• Oxford Urgent Care P L C

  • Specialist
  • Oxford, MI
  • NPI 1700036936
  Medicare reassignment NPD
• Royal Urgent Care, PLLC

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1952833196
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  MI

  Medicare reassignment NPD
• Longevity Clinical LTC Associates of Michigan PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Dearborn Heights, MI
  • NPI 1154992196
  Medicare reassignment
• Hospitalist Physicians Medical Group of Michigan, PC

  • Emergency Medicine Physician
  • Saint Joseph, MI
  • NPI 1407618234
  NPD
• Lakeside Urgent Care, P.C.

  • Internal Medicine Physician
  • Clinton Township, MI
  • NPI 1811226442
  NPD

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1801101159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD",
            "address_2": "STE 130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985801",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 HOLLYWOOD AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361310",
            "telephone_number": "586-601-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGE",
        "first_name": "JENNIFER",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704233177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WOOTEN",
            "middle_name": "MELISSA",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Lyn Lawrence, LLMSW
• Christopher Michael Lebel
• Daniel Lebovic, M.D.
• Michael Gerard Lebryk, R.PH
• Earlena Lee
• Daniel J Lehman, M.D.
• Robert Jay Leonard, M.D.
• Claude Charles Lerose Jr., D.D.S.
• Tihara Lewis
• Ginette Alicia Lezotte, AUD

• Family Nurse Practitioner in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.