Individual provider Active NPI

Jacita Greve

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1972053098
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704220559 Issued in MI
Practice address
24261 Greenfield Rd
Southfield, MI 48075-3117
Phone
(248) 569-9520
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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 3

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, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of Michigan 129 clinicians

Practice addresses (Care Compare)

28550 Schoenherr Rd
Warren, MI 48088-4329
Phone (586) 480-1685

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

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
I20180118000527 MI Practitioner - Nurse Practitioner 8123387222 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Health Corporation of Southeastern Michigan CurrentSince Aug 1, 2019 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Sep 25, 2021 Accepting new patients
Woodland Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Aug 1, 2019 Accepting new patients
The Wellness Plan Medical Centers CurrentSince Dec 26, 2017 Accepting new patients
Warren Urgent Care PC CurrentSince Oct 1, 2022 Accepting new patients
The Wellness Plan Medical Centers CurrentSince Dec 26, 2017 Accepting new patients
True Health Urgent Care PLLC Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

4909 E Outer Dr
Detroit, MI 48234
Phone (313) 366-2000

22341 W 8 Mile Rd
Detroit, MI 48219
Phone (313) 326-4989

21040 Greenfield Rd
Oak Park, MI 48237
Phone (248) 967-1888

74 S Elk St
Sandusky, MI 48471
Phone (810) 487-4676

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134

31700 Van Dyke Ave
Warren, MI 48093
Phone (586) 276-8130

28550 Schoenherr Rd
Warren, MI 48088
Phone (586) 480-1685

L4372
Columbus, OH 43260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704220559 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

24261 Greenfield Rd
Southfield, MI 48075-3117

Mailing address

24261 Greenfield Rd
Southfield, MI 48075-3117
Phone (248) 569-9520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2016.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1972053098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVE",
        "first_name": "JACITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704220559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.