Jacklyn Michelle Griffin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704249109 Issued in MI

Practice address

44344 Dequindre Rd Ste 260
Sterling Heights, MI 48314-1040

Phone

(586) 420-1117

Fax

(586) 323-1515

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Palliative CoachGroup PAC ID 4284097734, 2 clinicians

Palliative Coach MichiganGroup PAC ID 4284085325, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Palliative Coach Michigan

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Macomb, MI
  • NPI 1518749613
  Medicare reassignment Care Compare group NPD Authorized official
• Palliative Coach

  • Adult Health Nurse Practitioner
  • Naples, FL
  • NPI 1164100988
  Medicare reassignment Care Compare group NPD Authorized official
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Michigan Healthcare Professionals PC

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Vpa PC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1831522267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD STE 260",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141040",
            "telephone_number": "586-323-1500",
            "fax_number": "586-323-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD STE 260",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141040",
            "telephone_number": "586-420-1117",
            "fax_number": "586-323-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JACKLYN",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704249109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla Janae Greer
• Jennifer Gregson, RN
• Avneet Grewal, M.D.
• Antonia Griffin
• Anttanisha Renee Griffin
• Michelle Griffin, DPT
• Emma Griffiths
• Chloe Elise Grill
• Valerie Ann Grobbel, NURSE PRACTITIONER
• Daniel Joseph Grogan, LMSW

• Nurse Practitioner in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.