JILL WEGNER ACNP NPI 1881765071

NPI Information

NPI: 1881765071
Provider Name: JILL WEGNER, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 325-1000
Get Directions

Jill Wegner, ACNP is an acute care nurse practitioner in West Bloomfield, MI. Jill Wegner, ACNP NPI is 1881765071. 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:

6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322-013
Phone: (248) 325-1000

The NPI 1881765071 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 enumeration date for this NPI number is 11/11/2006 and was last updated on 4/9/2024.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	4704195321	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	10-4680917	MEDICAID	MICHIGAN
2	10-4689035	MEDICAID	MICHIGAN
3	10-4689044	MEDICAID	MICHIGAN
4	10-4689008	MEDICAID	MICHIGAN
5	11-4940999	MEDICAID	MICHIGAN
6	11-4941010	MEDICAID	MICHIGAN
7	11-4941029	MEDICAID	MICHIGAN
8	10-4689026	MEDICAID	MICHIGAN
9	11-4941000	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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