Individual provider Active NPI

Vera Jaber

  • Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1871917724
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704267744 Issued in MI
Practice address
10140 Vernor Hwy
Dearborn, MI 48120-1515
Phone
(313) 413-8684
Fax
(888) 242-0942
NPI assigned
Feb 13, 2014
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704267744 MI Primary

Addresses

Primary practice location

10140 Vernor Hwy
Dearborn, MI 48120-1515

Mailing address

PO Box 7060
Dearborn, MI 48121-7060
Phone (313) 413-8684

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
I20140514001994 MI Practitioner - Nurse Practitioner 0446473714 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704267744MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Urgent Care PC CurrentSince Aug 1, 2015 Accepting new patients
Haranath Policherla M.D. PC CurrentSince May 22, 2017 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Advanced Medical Center PLLC CurrentSince Apr 1, 2015 Accepting new patients
Park Family Health Care, P.C. CurrentSince May 31, 2014 Accepting new patients
Michigan Medical Services PLLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

10140 Vernor Hwy
Dearborn, MI 48120
Phone (313) 438-6059

4132 Schaefer Rd
Dearborn, MI 48126
Phone (313) 842-8402

12871 E Jefferson Ave
Detroit, MI 48215
Phone (313) 331-8484

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

7633 E Jefferson Ave
Ste 160
Detroit, MI 48214
Phone (313) 331-2727

20160 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-0640

2255 Fort St
Lincoln Park, MI 48146
Phone (313) 357-7500

18245 E 10 Mile Rd
Roseville, MI 48066
Phone (586) 218-7532

18245 E 10 Mile Rd
Ste 160
Roseville, MI 48066
Phone (313) 882-8600

28212 Franklin Rd
Southfield, MI 48034

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Interoperability endpoints

  • Direct secure messaging: vera.jaber.1@15114.direct.athenahealth.com

Organizations & group practices 8

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1871917724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7060",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481217060",
            "telephone_number": "313-413-8684",
            "fax_number": "888-242-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 VERNOR HWY",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201515",
            "telephone_number": "313-413-8684",
            "fax_number": "888-242-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABER",
        "first_name": "VERA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704267744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.