Active NPI
Danyielle Krista Jernukian, AGPCNP-BC
- Primary Care Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704317172
- Practice address
- 25130 Southfield Rd
Southfield, MI 48075-1910 - Phone
- (248) 234-6799
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704317172 | MI | Primary |
Addresses
Primary practice location
25130 Southfield Rd
Southfield, MI 48075-1910
Mailing address
44307 Princeton Dr
Clinton Township, MI 48038-1095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Oakland Univ, William Beaumont School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
44307 Princeton Dr
Clinton Township, MI 48038-1095
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.21 of 100
- Quality
- 88.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704317172 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Consultants Inc | Current | Accepting new patients | |
| Infusion Associates PLLC | Current | Accepting new patients | |
| Infusion Associates of Ohio LLC | Current | Accepting new patients | |
| Id Consultants of Northeast Ohio, Inc | Past | Accepting new patients | |
| Little People Urgent Care PLC | Past | Accepting new patients |
Locations
3270 Washtenaw Ave
Ann Arbor, MI 48104
250 W Eisenhower Pkwy
Ste 130
Ann Arbor, MI 48103
43650 Garfield Rd
Ste 104
Clinton Township, MI 48038
Phone (313) 756-7990
44720 Hayes Rd
Ste 200
Clinton Township, MI 48038
830 W Lake Lansing Rd
Ste 150
East Lansing, MI 48823
Phone (517) 897-9200
830 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 333-3777
1600 S Beacon Blvd
Grand Haven, MI 49417
Phone (614) 954-0600
1600 S Beacon Blvd
Ste 100
Grand Haven, MI 49417
Phone (614) 954-0600
3230 Eagle Park Dr NE
Ste 101
Grand Rapids, MI 49525
4343 Chicago Dr SW
Grandville, MI 49418
39475 Lewis Dr
Ste 140
Novi, MI 48377
Phone (248) 489-0766
1399 W Centre Ave
Portage, MI 49024
Phone (269) 615-1657
363 W Big Beaver Rd
Ste 126
Troy, MI 48084
Phone (248) 220-5230
363 W Big Beaver Rd
Ste 125
Troy, MI 48084
3401 Enterprise Pkwy
Ste 110
Beachwood, OH 44122
Phone (216) 245-6762
6640 Poe Ave
Ste 110
Dayton, OH 45414
Phone (937) 759-9906
150 Springside Dr
Ste 235B
Fairlawn, OH 44333
Phone (216) 360-9480
155 Lincoln Way W
Ste A109
Massillon, OH 44647
Phone (216) 488-1060
9381 Mentor Ave
Mentor, OH 44060
Phone (440) 890-4736
18100 Jefferson Park Rd
Ste 106
Middleburg Heights, OH 44130
Phone (216) 628-7050
50 Normandy Dr
Ste 1
Painesville, OH 44077
6220 Wilmington Pike
Ste 6220B
Sugarcreek Township, OH 45459
Phone (937) 741-4658
2000 Regency Ct
Ste 100A
Toledo, OH 43623
Phone (833) 394-0600
2211 Crocker Rd
Ste 170
Westlake, OH 44145
Phone (216) 360-9480
1111 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 965-0909
Interoperability endpoints
- djernukian301409@direct.hfhs.org
Organizations & group practices 5
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.
-
- Infusion Therapy Clinic/Center
- Beachwood, OH
- NPI 1124058920
-
- Infusion Therapy Clinic/Center
- Toledo, OH
- NPI 1144966466
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1487622296
-
- Urgent Care Clinic/Center
- Troy, MI
- NPI 1952761033
-
- Infectious Disease Physician
- Beachwood, OH
- NPI 1255913117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1861097263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44307 PRINCETON DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25130 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480751910",
"telephone_number": "248-234-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNUKIAN",
"first_name": "DANYIELLE",
"middle_name": "KRISTA",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704317172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.