Cheyenne Jepsen

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2236 E Mitchell Rd Ste 5
Petoskey, MI 49770-9604

Phone

(231) 347-9880

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Harbor Hall, Inc.

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1851865638
  NPD (past)
• Harbor Hall, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Petoskey, MI
  • NPI 1962551648
  NPD (past)

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1982324570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 EMMET ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702910",
            "telephone_number": "231-347-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 E MITCHELL RD STE 5",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709604",
            "telephone_number": "231-347-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Rush St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702920",
            "country_code": "US",
            "telephone_number": "231-347-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Emmet St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702910",
            "country_code": "US",
            "telephone_number": "231-347-9880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cheboygan",
            "state": "MI",
            "postal_code": "497211162",
            "country_code": "US",
            "telephone_number": "231-597-9234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "CHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janus RX LLC
• Barbara Clare Jaquith, MSN, RN, PNP. FNP
• Timothy Scott Jarvi, MD
• Melissa R. Jaskowski, RD
• JCS Optical Inc. (New Vision Optical)
• Melissa Ann Jibson, LLPC
• John J Degroot OD PC
• John M Cilluffo MD PLC
• Breena Marie Johnson, PA-C
• Jonathon Johnson, CRNA

• Home Health Aide in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.