Individual provider Active NPI

Jenna Oliver, FNP-BC

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1871300590
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704375786 Issued in MI
Practice address
2252 Paris Dr
Troy, MI 48083-2320
Phone
(248) 736-7331
NPI assigned
Dec 16, 2024
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704375786 MI Primary

Addresses

Primary practice location

2252 Paris Dr
Troy, MI 48083-2320

Mailing address

232 W Lafayette St
Romeo, MI 48065-5182
Phone (248) 736-7331

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
I20250603001643 MI Practitioner - Nurse Practitioner 7012426869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Hospice, LLCGroup PAC ID 8820242993, 3 clinicians

Practice addresses (Care Compare)

888 W Big Beaver Rd
Suite 900
Troy, MI 48084-4771
Phone (866) 952-9003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704375786MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Hospice, LLC CurrentSince Mar 9, 2025 Accepting new patients

Locations

888 W Big Beaver Rd
Ste 900
Troy, MI 48084
Phone (248) 629-2880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1871300590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W LAFAYETTE ST",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480655182",
            "telephone_number": "248-736-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 PARIS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832320",
            "telephone_number": "248-736-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JENNA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704375786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.