Jason T Ardelean, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Owosso, MI
NPI 1972195535 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1972195535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704307495 (MI)
- Practice address
- 721 N Shiawassee St Ste 202
Owosso, MI 48867-1632 - Phone
- (989) 729-1600
- Fax
- (989) 729-4070
- NPI assigned
- Feb 5, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital
Practice addresses (Care Compare)
300 Health Park Dr
Suite 302
Owosso, MI 48867-1293
Phone (989) 723-5540
Hospital & facility affiliations
- Memorial Healthcare
- Edward W Sparrow Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 58.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211108000953 | MI | Practitioner - Nurse Practitioner | 1456740760 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
| Memorial Hospital | Family | Current |
Accepting new patients |
| Memorial Hospital | Current |
Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
300 Health Park Dr
Ste 302
Owosso, MI 48867
Phone (989) 723-5540
721 N Shiawassee St
Ste 202
Owosso, MI 48867
Phone (989) 729-1600
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
1975 W M 21
Ste 103
Owosso, MI 48867
Interoperability endpoints
- j.ardelean@memorialhealthcare.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704307495 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704307495 | MI | Yes |
Addresses
Primary practice location
721 N Shiawassee St Ste 202
Owosso, MI 48867-1632
Mailing address
721 N Shiawassee St Ste 202
Owosso, MI 48867-1632
Phone (989) 729-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972195535 | Medicaid | MI |
Other providers in Owosso, MI
- Angala Borders-Robinson DO, PC
- Angela Badra DO, PC
- Jessica Le Angst
- Phincy Treesa Arangattu
- James A Arceo
- Jonathan Arend
- Carolyn Rene Arking
- Noah Lee Armstrong
- Kamryn Arnett
- Michael Arnett
All providers in Owosso, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.