Active NPI
Nadine S Jennings, M.D.
- Physical Medicine & Rehabilitation Physician
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301059614
- Practice address
- 2300 Haggerty Rd Ste 2150a
West Bloomfield, MI 48323-2192 - Phone
- (248) 926-6610
- Fax
- (248) 926-6611
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301059614 | MI | Primary |
Addresses
Primary practice location
2300 Haggerty Rd Ste 2150a
West Bloomfield, MI 48323-2192
Mailing address
42557 Woodward Ave
Ste 130
Bloomfield, MI 48304-5206
Phone (248) 322-3088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104851960 | Medicaid | MI | |
| 0634908 | Other | MI | BCBSM |
| 5549289 | Other | MI | AETNA |
Other names 1
- Nadine S Rapp
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Wayne State University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
33010 Northwestern Hwy
West Bloomfield, MI 48322-3634
5220 Highland Rd
Suite 210
Waterford, MI 48327-1973
Phone (248) 383-1030
Hospital & facility affiliations
- Rehabilitation Institute of Michigan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059614 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| Straith Hospital for Special Surgery | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Michigan Neurosurgical Specialists PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Straith Hospital for Special Surgery | Current | Accepting new patients | |
| University Physician Group | Past | Accepting new patients | |
| Pontiac General Hospital and Medical Centers | Past | Accepting new patients | |
| Peter G Grain, M.D., P.C. | Past | Accepting new patients | |
| Straith Hospital for Special Surgery | Past | Accepting new patients | |
| Karazim Rehab Consultants | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
42557 Woodward Ave
Ste 130
Bloomfield Hills, MI 48304
Phone (248) 322-3088
5701 Bow Pointe Dr
Ste 305
Clarkston, MI 48346
Phone (248) 451-1466
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360
5220 Highland Rd
Ste 210
Waterford, MI 48327
Phone (248) 383-1030
2300 Haggerty Rd
Ste 2
West Bloomfield, MI 48323
Phone (248) 313-5940
2300 Haggerty Rd
Ste 2150A
West Bloomfield, MI 48323
Phone (248) 926-6610
2300 Haggerty Rd
Ste 2150
West Bloomfield, MI 48323
Phone (248) 625-5550
Interoperability endpoints
- nadine.jennings.1@12951.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Clinic/Center
- Waterford, MI
- NPI 1295871770
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
Physical Medicine & Rehabilitation
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
-
- Physical Therapy Clinic/Center
- West Bloomfield, MI
- NPI 1962512202
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Behavior Analyst
- Southfield, MI
- NPI 1467296277
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1881743417
Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Farmington Hills, MI
- NPI 1497950612
-
- Neurological Surgery Physician
- Clarkston, MI
- NPI 1235331836
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1265585871
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Detroit, MI
- NPI 1871805150
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851361711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42557 WOODWARD AVE",
"address_2": "STE 130",
"city": "BLOOMFIELD",
"state": "MI",
"postal_code": "483045206",
"telephone_number": "248-322-3088",
"fax_number": "248-322-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HAGGERTY RD STE 2150A",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483232192",
"telephone_number": "248-926-6610",
"fax_number": "248-926-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "NADINE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301059614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104851960",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0634908",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5549289",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NADINE",
"last_name": "RAPP",
"middle_name": "S",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.