Individual provider Active NPI

Jennifer Lynn Charneski, FNP

  • Family Nurse Practitioner
  • Fowlerville, MI
National Provider Identifier
1821869207
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704271801 Issued in MI
Practice address
2845 Sycamore River Dr
Fowlerville, MI 48836-8600
Phone
(586) 343-5703
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 4704271801 MI Primary

Addresses

Primary practice location

2845 Sycamore River Dr
Fowlerville, MI 48836-8600

Mailing address

2845 Sycamore River Dr
Fowlerville, MI 48836-8600
Phone (586) 343-5703

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
I20240705002645 MI Practitioner - Nurse Practitioner 1557805157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Clinics PC 10 clinicians
Heart Rhythm Clinic of Michigan PC 6 clinicians

Practice addresses (Care Compare)

1165 S Linden Rd St a
Flint, MI 48532-3406
Phone (810) 732-5400

1386 S Linden Rd
Flint, MI 48532-4185
Phone (810) 285-8501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704271801MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Clinics PC CurrentSince Jan 1, 2026 Accepting new patients
Heart Rhythm Clinic of Michigan PC CurrentSince Jul 3, 2024 Accepting new patients
CT Center of Flint, PLLC Past Accepting new patients

Locations

1165 S Linden Rd
Flint, MI 48532
Phone (248) 277-3560

1386 S Linden Rd
Flint, MI 48532
Phone (810) 285-8501

1165 S Linden Rd
#A
Flint, MI 48532
Phone (810) 732-5400

1165 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 285-8501

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1821869207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 SYCAMORE RIVER DR",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488368600",
            "telephone_number": "586-343-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 SYCAMORE RIVER DR",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488368600",
            "telephone_number": "586-343-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNESKI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704271801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowlerville, MI

Sources for this page

Verify at the official NPI Registry.