Individual provider Active NPI

Jannelle Nash

  • Physician Assistant
  • Lake Orion, MI
National Provider Identifier
1922498260
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007271 Issued in MI
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

Updated by the provider on Jan 26, 2015

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians

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 Home health agency, Saginaw, MI, CCN 239152
  • Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Sault CurrentSince Jun 3, 2019 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jun 3, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.