Individual provider Active NPI

Jocelyn Kimberly Vieira, RN, AG-ACNP-BC

  • Adult Health Nurse Practitioner
  • Beverly Hills, MI
National Provider Identifier
1962015974
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704303023 Issued in MI
Practice address
32804 Pierce St
Beverly Hills, MI 48025-3215
Phone
(248) 864-8585
Fax
(248) 864-8833
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardioq Heart and Vascular Specialists of Mi 2 clinicians

Practice addresses (Care Compare)

32804 Pierce St
Beverly Hills, MI 48025-3215
Phone (248) 864-8585

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.09
Promoting interoperability
100
Improvement activities
40
Cost
88.26

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
I20201105001834 MI Practitioner - Nurse Practitioner 7911317789 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704303023MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardioq Heart and Vascular Specialists of Mi Cardiovascular Disease CurrentSince Nov 1, 2020 Accepting new patients

Locations

32804 Pierce St
Beverly Hills, MI 48025
Phone (248) 540-9866

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

Interoperability endpoints

  • Direct secure messaging: jvieira1156604@direct.hfhs.org
  • Direct secure messaging: jvieira1260218@epic00.shdirect.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704303023 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

32804 Pierce St
Beverly Hills, MI 48025-3215

Mailing address

711 Kildare Rd. Lu
Windsor, ON N8Y3H1
CA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2020.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1962015974",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "711 KILDARE RD. LU",
            "city": "WINDSOR",
            "state": "ON",
            "postal_code": "N8Y3H1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32804 PIERCE ST",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253215",
            "telephone_number": "248-864-8585",
            "fax_number": "248-864-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "JOCELYN",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "RN, AG-ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704303023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

Verify at the official NPI Registry.