NPIMap

Individual provider Active NPI

Jessica Quigley

  • Family Nurse Practitioner
  • West Branch, MI
National Provider Identifier
1942630140
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9999999999 Issued in MI
Practice address
640 Court St
West Branch, MI 48661-9390
Phone
(989) 345-8130
NPI assigned
Nov 25, 2013
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9999999999 MI Primary

Addresses

Primary practice location

640 Court St
West Branch, MI 48661-9390

Mailing address

640 Court St
West Branch, MI 48661-9390
Phone (989) 345-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140408002153 MI Practitioner - Nurse Practitioner 2264664101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2431 S M
30 Suite 200
West Branch, MI 48661-9367
Phone (989) 343-3762

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9999999999MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Degara App, PLLC CurrentSince Oct 1, 2018 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Mar 1, 2021 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2431 S M 30
Ste 200
West Branch, MI 48661
Phone (989) 343-3762

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

640 Court St
West Branch, MI 48661
Phone (989) 343-3730

Interoperability endpoints

  • Direct secure messaging: jquigley6857@mymichiganhealth.midirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1942630140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "9999999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.