Jessica Marie Staton, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704293156 Issued in MI

Practice address

8653 N 32ND St Ste 1C
Richland, MI 49083-9494

Phone

(269) 225-3105

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Age Management of West Michigan PC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1558700625
  Medicare reassignment NPD
• East Columbia Urgent Care PLLC

  dba East Columbia Urgent Care & Ortho

  • Urgent Care Clinic/Center
  • Battle Creek, MI
  • NPI 1952105280
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1972215226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 COONEY RD",
            "city": "DELTON",
            "state": "MI",
            "postal_code": "490467751",
            "telephone_number": "269-598-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8653 N 32ND ST STE 1C",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839494",
            "telephone_number": "269-225-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704293156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asyia Simmons
• Jill Simmons, MS, RDN, CNSC
• Aimee E Simpson, MD
• Eric Slosberg
• Isabella Smith
• Chassity Stoneburgh, MD
• Bobbi Jo Stoner, MA, LPC
• Sara Joanne Sutherland, LMSW
• Trilogy Orthopedic Supply, Inc.
• Todd Duane Tucker, DDS

• Family Nurse Practitioner in Richland, MI
• Providers in Richland, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.