Active NPI
Monique N Jones, MSN, RN, FNP-C
- Family Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704242970
- Practice address
- 30920 Southfield Rd
Southfield, MI 48076-7738 - Phone
- (248) 647-6558
- NPI assigned
- Oct 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704242970 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704242970 | MI | Primary |
Addresses
Primary practice location
30920 Southfield Rd
Southfield, MI 48076-7738
Mailing address
7030 Helen St
Garden City, MI 48135-2211
Phone (248) 943-8701
Other practice location 1
2850 S Industrial Hwy
Ann Arbor, MI 48104-6796
Phone (734) 477-7298
Other practice location 2
30700 Telegraph Rd
Bingham Farms, MI 48025-4524
Phone (248) 480-4440
Other practice location 3
13240 Woodrow Wilson St
Detroit, MI 48238-3692
Phone (248) 943-8701
Other names 1
- Monique Fuller
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443
7030 Helen St
Garden City, MI 48135-2211
745 McClintock Dr
Suite 360
Burr Ridge, IL 60527-0853
PO Box
Suite 772
Woonsocket, RI 02895
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704242970 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Wound Care Medical Group | Current | Accepting new patients | |
| Paragon Clinical LLC | Family | Current | Accepting new patients |
| Paragon Clinical Midwest, LLC | Past | Accepting new patients |
Locations
5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861
1385 E Empire Ave
Benton Harbor, MI 49022
Phone (269) 925-0033
7633 E Jefferson Ave
Ste 110
Detroit, MI 48214
Phone (858) 256-1243
Organizations & group practices 3
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1235831132
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1861902322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 HELEN ST",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352211",
"telephone_number": "248-943-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30920 SOUTHFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480767738",
"telephone_number": "248-647-6558"
}
],
"practiceLocations": [
{
"address_1": "2850 S Industrial Hwy",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481046796",
"country_code": "US",
"telephone_number": "734-477-7298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30700 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Bingham Farms",
"state": "MI",
"postal_code": "480254524",
"country_code": "US",
"telephone_number": "248-480-4440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13240 Woodrow Wilson St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482383692",
"country_code": "US",
"telephone_number": "248-943-8701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MONIQUE",
"middle_name": "N",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704242970",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704242970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "FULLER",
"credential": "MSN, RN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 1, 2021; 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.