Active NPI
Jannelle Nash
- Physician Assistant
- Lake Orion, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007271
- Practice address
- 1455 S Lapeer Rd Ste 100
Lake Orion, MI 48360-1468 - Phone
- (248) 693-3551
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007271 | MI | Primary |
Addresses
Primary practice location
1455 S Lapeer Rd Ste 100
Lake Orion, MI 48360-1468
Mailing address
1455 S Lapeer Rd Ste 100
Lake Orion, MI 48360-1468
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150706001338 | MI | Practitioner - Physician Assistant | 2769794783 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
146 E Spruce St
Sault Sainte Marie, MI 49783-1822
Phone (906) 253-0113
333 Magazine St
Sault Sainte Marie, MI 49783-1867
Phone (906) 259-9929
4000 Wellness Dr
Midland, MI 48670-2000
500 Osborn Blvd
Sault S Marie, MI 49783-1822
Hospital & facility affiliations
- Residential Home Health and Hospice
- Chippewa County War Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Past | Accepting new patients |
Locations
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
509 Osborn Blvd
Sault Sainte Marie, MI 49783
Phone (906) 253-2605
333 Magazine St
Ste 102
Sault South Marie, MI 49783
Phone (906) 253-2605
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
333 Magazine St
Sault South Marie, MI 49783
Phone (906) 253-9374
Interoperability endpoints
- jnash143053@mymichiganhealth.midirect.net
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sault Sainte Marie, MI
- NPI 1639190382
MI
-
- Anatomic Pathology & Clinical Pathology Physician
- Sault Sainte Marie, MI
- NPI 1518819739
-
- Rural Health Clinic/Center
- Sault Sainte Marie, MI
- NPI 1720145303
-
- Psychiatric Hospital Unit
- Kincheloe, MI
- NPI 1629260203
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
Hospital
-
- Home Health Agency
- Saginaw, MI
- NPI 1083341168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1922498260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 S LAPEER RD STE 100",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483601468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 S LAPEER RD STE 100",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483601468",
"telephone_number": "248-693-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "JANNELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.