Suzanne M. Jermstad, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704207634 Issued in MI

Practice address

Iha Hematology Oncology Oakland
44405 Woodward Avenue Suite 202
Pontiac, MI 48341-5023

Phone

(248) 858-2270

Fax

(248) 335-6171

NPI assigned

Jun 29, 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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iha Olma Specialty Services LLCGroup PAC ID 8426464884, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Iha Olma Specialty Services LLC

  • Obstetrics & Gynecology Physician
  • Bloomfield Township, MI
  • NPI 1457949588
  Medicare reassignment Care Compare group NPD
• SJMH Medical Practice-SMHC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1346284684
  Medicare reassignment NPD
• Iha Olma Specialty Services LLC

  • Neurological Surgery Physician
  • Pontiac, MI
  • NPI 1033899174
  NPD
• Iha Olma Specialty Services LLC

  • Hematology & Oncology Physician
  • Pontiac, MI
  • NPI 1457094278
  NPD
• SJMH Medical Practice-SMHC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1366644551
  NPD
• DMC Orthopedic Billing Associates LLC

  • Orthopaedic Surgery Physician
  • Detroit, MI
  • NPI 1457387607
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1932306289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "248-858-2270",
            "fax_number": "248-335-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHA HEMATOLOGY ONCOLOGY OAKLAND",
            "address_2": "44405 WOODWARD AVENUE SUITE 202",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-2270",
            "fax_number": "248-335-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMSTAD",
        "first_name": "SUZANNE",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704207634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H22914",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Racquel Monique Jefferson
• Karen Marie Jeffery, LMSW
• Nihar Kanta Jena, M.D.
• Heidi S. Jenney, D.O.
• Elizabeth Ann Jennings, RN
• Myeya Jernagin
• Fadi Nader Jirjees, MD
• David Johns
• Johnson Estate LLC
• Antania Johnson, BSW

• Family Nurse Practitioner in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.

Verify at the official NPI Registry.