Jeanmarie Michalak, MSN, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP008052 Issued in PA

Practice address

176 S New Middletown Rd
Media, PA 19063-5255

Phone

(610) 627-3690

Fax

(610) 627-3684

NPI assigned

Sep 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeanmarie.michalak@chpm.cernerdirect.com

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.

• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Crum Lynne, PA
  • NPI 1619322112
  NPD

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1881889848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-627-3690",
            "fax_number": "610-627-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-627-3690",
            "fax_number": "610-627-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "JEANMARIE",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Metz, MSN, CRNP, FNP-C
• Carl A Meyer, MD
• MG Therapeutic Services LLC
• MG Therapeutic Services LLC
• Michael Montie LCSW LLC
• Joseph A Micucci, PH.D., ABPP
• Middletown Family Dentistry
• Rebecca Nicole Miekley, MS
• Gwendolyn Miles, MSW
• Jason Read Millard, M.A.

• Family Nurse Practitioner in Media, PA
• Providers in Media, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.