Individual provider Active NPI

Jennifer Aaron Lotarski, FNP

  • Family Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1891270237
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704292894 Issued in MI
Practice address
21537 Audette St
Dearborn, MI 48124-3025
Phone
(313) 205-0355
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704292894 MI Primary

Addresses

Primary practice location

21537 Audette St
Dearborn, MI 48124-3025

Mailing address

6020 W Pierson Rd
Flushing, MI 48433-2335
Phone (313) 205-0355

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
I20181220003070 MI Practitioner - Nurse Practitioner 6204171192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

34435 Michigan Ave
Wayne, MI 48184-1763
Phone (734) 589-1524

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704292894MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Urgent Care Single Specialty CurrentSince Jan 30, 2023 Accepting new patients
Wellstreet Urgent Care of Michigan Single Specialty CurrentSince Jul 15, 2021 Accepting new patients
Flushing Urgent Care PLC Single Specialty CurrentSince Jun 11, 2020 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

27897 Woodward Ave
Berkley, MI 48072
Phone (248) 397-6196

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

34435 Michigan Ave
Wayne, MI 48184
Phone (734) 589-1254

Organizations & group practices 4

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 11

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1891270237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332335",
            "telephone_number": "313-205-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21537 AUDETTE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243025",
            "telephone_number": "313-205-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTARSKI",
        "first_name": "JENNIFER",
        "middle_name": "AARON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.