Individual provider Active NPI

Jessica Rock, CNM

  • Advanced Practice Midwife
  • Farmington, MI
National Provider Identifier
1841053261
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704318742 Issued in MI
Practice address
36650 Grand River Ave Ste 101
Farmington, MI 48335-2919
Phone
(734) 691-0980
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704318742 MI Primary

Addresses

Primary practice location

36650 Grand River Ave Ste 101
Farmington, MI 48335-2919

Mailing address

14750 Talbot St
Oak Park, MI 48237-1034
Phone (248) 752-6636

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517001861 MI Practitioner - Certified Nurse Midwife (CNM) 0547601841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704318742MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince May 1, 2024 Accepting new patients
University Physician Group Past Accepting new patients

Locations

3990 John R St
Ste 4240
Detroit, MI 48201
Phone (248) 556-6428

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

400 Mack Ave
Ste 2E
Detroit, MI 48201

26400 W 12 Mile Rd
Ste 145
Southfield, MI 48034
Phone (248) 359-8034

Interoperability endpoints

  • Direct secure messaging: jessica.rock.1@19711.direct.athenahealth.com

Organizations & group practices 2

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1841053261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 TALBOT ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371034",
            "telephone_number": "248-752-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36650 GRAND RIVER AVE STE 101",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483352919",
            "telephone_number": "734-691-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "JESSICA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704318742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.