Active NPI
Jennifer Lynn Sovis, NP
- Gerontology Nurse Practitioner
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704300734
- Practice address
- 4568 W Walton Blvd Ste D
Waterford, MI 48329-4900 - Phone
- (855) 466-3631
- NPI assigned
- Jun 4, 2024
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704300734 | MI | Primary |
Addresses
Primary practice location
4568 W Walton Blvd Ste D
Waterford, MI 48329-4900
Mailing address
4554 Waugh Rd
Owosso, MI 48867-9746
Phone (810) 417-0397
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
4568 W Walton Blvd
Suite D
Waterford, MI 48329-4900
Phone (855) 466-3631
4775 Village Dr
Grand Ledge, MI 48837-8107
Phone (517) 412-2240
5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505
Hospital & facility affiliations
- Elara Caring
- Residential Home Health
- Advisacare Solutions of Kalamazoo
- Edward W Sparrow Hospital
- Memorial Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704300734 | MI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitional Care Services, LLC | Gerontology | Current | Accepting new patients |
Locations
5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631
4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631
Interoperability endpoints
- jennifer.haver.1@31855.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Waterford, MI
- NPI 1174976807
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- General Acute Care Hospital
- Owosso, MI
- NPI 1063414233
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
- Home Health Agency
- Portage, MI
- NPI 1770562746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1871334953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4554 WAUGH RD",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679746",
"telephone_number": "810-417-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 W WALTON BLVD STE D",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294900",
"telephone_number": "855-466-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOVIS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704300734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.