Individual provider Active NPI

Jessica Lynn Hill, PA-C

  • Physician Assistant
  • Okemos, MI
National Provider Identifier
1902016181
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004853 Issued in MI
Practice address
2375 Woodlake Dr Ste 300
Okemos, MI 48864
Phone
(517) 908-3600
Fax
(517) 908-3601
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004853 MI Primary

Addresses

Primary practice location

2375 Woodlake Dr Ste 300
Okemos, MI 48864

Mailing address

2375 Woodlake Dr Ste 300
Okemos, MI 48864-6021
Phone (517) 908-3600

Other practice location 1

4202 Collins Rd Ste 115
Lansing, MI 48910
Phone (517) 908-3600

Other identifiers 2

IdentifierTypeStateIssuer
JH004853OtherMISTATE LICENSE
0850310170OtherMIBCBSM PIN

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
I20091202000511 MI Practitioner - Physician Assistant 2668511726 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group CurrentSince Nov 1, 2015 Accepting new patients
Advantage Health Saint Mary'S Medical Group Physician Assistant CurrentSince Nov 1, 2015 Accepting new patients
Lansing Family Physicians PC Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

Interoperability endpoints

  • Direct secure messaging: jessica.hill.p1@direct.advrheum.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1902016181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WOODLAKE DR STE 300",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646021",
            "telephone_number": "517-908-3600",
            "fax_number": "517-908-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WOODLAKE DR STE 300",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-908-3600",
            "fax_number": "517-908-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4202 Collins Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48910",
            "country_code": "US",
            "telephone_number": "517-908-3600",
            "fax_number": "517-908-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "JH004853",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "0850310170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.