Active NPI
Jocelyn Kimberly Vieira, RN, AG-ACNP-BC
- Adult Health Nurse Practitioner
- Beverly Hills, MI
National Provider Identifier
1962015974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704303023
- 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.
-
- Cardiovascular Disease Physician
- Beverly Hills, MI
- NPI 1477946481
Cardiovascular Disease, MI
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
Practice addresses (Care Compare)
32804 Pierce St
Beverly Hills, MI 48025-3215
Phone (248) 864-8585
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Ascension Providence Hospital, Southfield and Novi
- Sinai-Grace Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704303023 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardioq Heart and Vascular Specialists of Mi | Cardiovascular Disease | Current | 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
- jvieira1156604@direct.hfhs.org
- jvieira1260218@epic00.shdirect.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704303023 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.