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Individual provider Active NPI

Jennifer Lynne Caswell, PA

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1972830636
Registry record updated Jul 9, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005553 Issued in MI
Practice address
3955 Patient Care Dr
Lansing, MI 48911
Phone
(517) 374-7600
Fax
(855) 495-5457
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005553 MI Primary

Addresses

Primary practice location

3955 Patient Care Dr
Lansing, MI 48911

Mailing address

3955 Patient Care Dr
Lansing, MI 48911-4299
Phone (517) 374-7600

Other practice location 1

4660 South Hagadorn Road
Suite 600
East Lansing, MI 48823
Phone (517) 267-2460

Other identifiers 1

IdentifierTypeStateIssuer
5601005553OtherMISTATE OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000741 MI Practitioner - Physician Assistant 7012052269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811

2900 Hannah Blvd
Suite 114
East Lansing, MI 48823-5380
Phone (517) 364-8080

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005553MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Apr 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4660 S Hagadorn Rd
Ste 600
East Lansing, MI 48823
Phone (517) 267-2460

2900 Hannah Blvd
Ste 114
East Lansing, MI 48823
Phone (517) 364-8080

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1200 E Michigan Ave
Lowr
Lansing, MI 48912
Phone (517) 364-5252

Organizations & group practices 5

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1972830636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114299",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48911",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 South Hagadorn Road",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "48823",
            "country_code": "US",
            "telephone_number": "517-267-2460",
            "fax_number": "517-267-2462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASWELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5601005553",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.