MICHELLE NICOLA JENNINGS NPI 1104334077

NPI Details

Michelle Nicola Jennings is an adult health nurse practitioner in Surprise, AZ. Michelle Nicola Jennings NPI is 1104334077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17674 N LITCHFIELD RD
SURPRISE, AZ
ZIP 85374-478
Phone: (623) 281-3001
Fax: (480) 906-2180

The NPI 1104334077 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Urinalysis, manual test (HCPCS:81002)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 1/13/2018 and was last updated on 8/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: