Individual provider Active NPI

Jennifer Patton, FNP-C

  • Nurse Practitioner
  • Warren, MI
National Provider Identifier
1861163172
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704300814 Issued in MI
Practice address
28477 Hoover Rd
Warren, MI 48093-5400
Phone
(586) 250-4040
NPI assigned
Sep 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 4704300814 MI Primary

Addresses

Primary practice location

28477 Hoover Rd
Warren, MI 48093-5400

Mailing address

3305 Davison Lake Rd
Ortonville, MI 48462-9518
Phone (586) 850-2379

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
I20220104001526 MI Practitioner - Nurse Practitioner 0143611046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

28477 Hoover Rd
Warren, MI 48093-5400
Phone (586) 250-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Dec 1, 2021 Accepting new patients

Locations

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

68560 Stoecker Ln
Richmond, MI 48062
Phone (586) 250-4040

1223 S Washington Ave
Royal Oak, MI 48067
Phone (248) 395-0080

28477 Hoover Rd
Warren, MI 48093
Phone (586) 250-4040

3803 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 221-7733

35640 W Michigan Ave
Wayne, MI 48184
Phone (517) 630-2446

309 Ecorse Rd
Ypsilanti, MI 48198
Phone (734) 484-0580

Interoperability endpoints

  • Direct secure messaging: jenniferpatton@gammons.directglo.com
  • Direct secure messaging: jpatton1144111@direct.hfhs.org

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": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1861163172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 DAVISON LAKE RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629518",
            "telephone_number": "586-850-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28477 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935400",
            "telephone_number": "586-250-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704300814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.