Individual provider Active NPI

Jenna Rosalyn Burgin

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1881045235
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801116005 Issued in MI
Practice address
2800 S Shepherd Rd
Mt Pleasant, MI 48858-8966
Phone
(989) 775-4386
NPI assigned
Jun 27, 2016
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801116005 MI Primary

Addresses

Primary practice location

2800 S Shepherd Rd
Mt Pleasant, MI 48858-8966

Mailing address

2800 S Shepherd Rd
Mt Pleasant, MI 48858-8966
Phone (989) 775-4850

Other practice location 1

710 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2379
Phone (616) 421-9387

Other names 1

  • Jenna Rosalyn Smelser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407002272 TX Practitioner - Clinical Social Worker 6103286216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2800 S Shepherd Rd
Mt Pleasant, MI 48858-8966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801116005MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Chippewa Indian Tribe CurrentSince Jan 31, 2026 Accepting new patients
Saginaw Chippewa Indian Tribe CurrentSince Jan 31, 2026 Accepting new patients

Locations

2800 S Shepherd Rd
Mt Pleasant, MI 48858
Phone (989) 775-4850

Organizations & group practices 2

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1881045235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHEPHERD RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588966",
            "telephone_number": "989-775-4850",
            "fax_number": "989-775-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHEPHERD RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588966",
            "telephone_number": "989-775-4386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Kenmoor Ave SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462379",
            "country_code": "US",
            "telephone_number": "616-421-9387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "JENNA",
        "middle_name": "ROSALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "SMELSER",
            "middle_name": "ROSALYN",
            "credential": "LMSW, CAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.