Individual provider Active NPI

Jennifer Lynn Sovis, NP

  • Gerontology Nurse Practitioner
  • Waterford, MI
National Provider Identifier
1871334953
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704300734 Issued in MI
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

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716004673 MI Practitioner - Nurse Practitioner 2163967928 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
Telehealth
Offers telehealth services
Group practices
Transitional Care Services LLCGroup PAC ID 6709165954, 45 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

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 Home health agency, Jackson, MI, CCN 237274
  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • Advisacare Solutions of Kalamazoo Home health agency, Portage, MI, CCN 237219
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704300734MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Care Services, LLC Gerontology CurrentSince Jun 10, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.