Jessica Desloover, NP

Key facts

NPI

1972124832

Entity type

Individual (NPI type 1)

Primary specialty

Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X

License

4704301395 (MI)

Practice address

14100 Newburgh Rd
Livonia, MI 48154-5010

Phone

(888) 464-2341

NPI assigned

May 1, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Carelon Medical Partners, PC Hospice and Palliative Medicine (Internal Medicine) Physician · Nashville, TN · NPI 1124443403
  Medicare reassignment WI
• Caremore Health Medical Partners, PC Internal Medicine Physician · Indianapolis, IN · NPI 1124640503
  NPD (past) FAMILY MEDICINE

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: jdesloover28215@carelonhealth.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 12, 2023.

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1972124832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "888-464-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NEWBURGH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545010",
            "telephone_number": "888-464-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLOOVER",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4704301395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ajay P Deshmukh, RPT
• Derek George Desouza, MD
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• Detroit Visiting Diagnostics Inc
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All providers in Livonia, MI · Hospice and Palliative Medicine (Family Medicine) Physician in Michigan