Active NPI
Jennifer Ann Huldin, M.D.
- Occupational Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 4301051980
- Practice address
- 4200 Whitehall Dr Ste 150
Ann Arbor, MI 48105-9694 - Phone
- (734) 995-0308
- Fax
- (734) 995-0425
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301051980 | MI | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 4301051980 | MI | |
| Occupational Medicine Physician | 2083X0100X | 4301051980 | MI | Primary |
Addresses
Primary practice location
4200 Whitehall Dr Ste 150
Ann Arbor, MI 48105-9694
Mailing address
Olin Health Center
East Circle Drive
East Lansing, MI 48824-1037
Phone (517) 884-6546
Other practice location 1
Olin Health Center
East Circle Drive
East Lansing, MI 48824-1037
Phone (517) 885-6546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4720322 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301051980 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lansing Urgent Care PLC | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Hoeppner Physical Therapy Limited Partnership | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Michigan State University | Past | Accepting new patients | |
| Michigan State University | Family Medicine | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Lansing Urgent Care, PLC | Past | Accepting new patients |
Locations
4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
505 N Clippert St
Lansing, MI 48912
Phone (517) 285-0905
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
150 Kennedy Dr
South Burlington, VT 05403
Phone (802) 448-9370
Organizations & group practices 9
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.
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba IHA Urgent Care-Domino's Farms
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1992937023
-
- Urgent Care Clinic/Center
- Lansing, MI
- NPI 1568688992
-
- Physical Therapist
- South Burlington, VT
- NPI 1427162957
-
- Urgent Care Clinic/Center
- Lansing, MI
- NPI 1780987990
-
dba Michigan State University Extension
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
-
- Student Health Clinic/Center
- East Lansing, MI
- NPI 1770646028
Family Medicine
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1992716617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "OLIN HEALTH CENTER",
"address_2": "EAST CIRCLE DRIVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241037",
"telephone_number": "517-884-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WHITEHALL DR STE 150",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059694",
"telephone_number": "734-995-0308",
"fax_number": "734-995-0425"
}
],
"practiceLocations": [
{
"address_1": "Olin Health Center",
"address_2": "East Circle Drive",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488241037",
"country_code": "US",
"telephone_number": "517-885-6546",
"fax_number": "517-432-9460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULDIN",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301051980",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "4301051980",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MI",
"license": "4301051980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4720322",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.