Individual provider Active NPI

Jenna Powers, NP-C

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1831783349
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704310059 Issued in MI
Practice address
1213 Mason St
Dearborn, MI 48124-2841
Phone
(313) 278-2800
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 4704310059 MI Primary

Addresses

Primary practice location

1213 Mason St
Dearborn, MI 48124-2841

Mailing address

429 Emmons Blvd
Wyandotte, MI 48192-2403
Phone (313) 770-3388

Other names 1

  • Jenna Powers Professional name

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
I20221004001643 MI Practitioner - Nurse Practitioner 8628454329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balbir Gandhi M.D.P.CGroup PAC ID 8820161201, 3 clinicians

Practice addresses (Care Compare)

2025 Ford Ave
Suite 100
Wyandotte, MI 48192-2301
Phone (734) 281-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704310059MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balbir Gandhi M.D.P.C CurrentSince Jul 1, 2022 Accepting new patients

Locations

2025 Ford Ave
Ste 100
Wyandotte, MI 48192
Phone (734) 281-3080

Interoperability endpoints

  • Direct secure messaging: jpowers756176@direct.hfhs.org

Organizations & group practices 1

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1831783349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 EMMONS BLVD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922403",
            "telephone_number": "313-770-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MASON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242841",
            "telephone_number": "313-278-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JENNA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704310059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "POWERS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.