Individual provider Active NPI

Nadine S Jennings, M.D.

  • Physical Medicine & Rehabilitation Physician
  • West Bloomfield, MI
National Provider Identifier
1851361711
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301059614 Issued in MI
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104851960MedicaidMI
0634908OtherMIBCBSM
5549289OtherMIAETNA

Other names 1

  • Nadine S Rapp Former 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040424000264 MI Practitioner - Physical Medicine and Rehabilitation 2961498837 Reassigns benefits to 3 organizations

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
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians
Michigan Neurosurgical Specialists PCGroup PAC ID 2163444571, 7 clinicians

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 Inpatient rehabilitation facility, Detroit, MI, CCN 233027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301059614MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straith Hospital for Special Surgery CurrentSince Dec 3, 2018 Accepting new patients
Straith Hospital for Special Surgery Physical Medicine & Rehabilitation CurrentSince Dec 3, 2018 Accepting new patients
Michigan Neurosurgical Specialists PC CurrentSince Sep 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2017 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.