Individual provider Active NPI

Jill Spindell, P.A.

  • Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1851832364
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009480 Issued in MI
Practice address
250 W Eisenhower Pkwy Ste 100
Ann Arbor, MI 48103-6933
Phone
(248) 581-0333
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009480 MI Primary

Addresses

Primary practice location

250 W Eisenhower Pkwy Ste 100
Ann Arbor, MI 48103-6933

Mailing address

1204 Birk Ave
Ann Arbor, MI 48103-5306
Phone (989) 213-8126

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
I20231101003249 MI Practitioner - Physician Assistant 8729434337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Art of Dermatology PLLCGroup PAC ID 9830441690, 14 clinicians

Practice addresses (Care Compare)

250 W Eisenhower Pkwy
Suite 100
Ann Arbor, MI 48103-6933
Phone (248) 581-0333

28903 Woodward Ave
Berkley, MI 48072-0924
Phone (248) 581-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jin M Kim D O P a Past Accepting new patients
Alan Bolton, MD, PC PastSince Mar 1, 1999 Accepting new patients
TLC Urgent Care PLC Past Accepting new patients

Organizations & group practices 4

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1851832364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BIRK AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035306",
            "telephone_number": "989-213-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W EISENHOWER PKWY STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036933",
            "telephone_number": "248-581-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINDELL",
        "first_name": "JILL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.