Jacob Jewell, FNP-C - Medicare Nurse Practitioner in Saint Clair Shores, MI

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Jacob Jewell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint Clair Shores, Michigan. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Complexcare Medical Group Midwest H Pllc, Theoria Medical and his current practice location is 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 771-4820.

Jacob Jewell is licensed to practice in Michigan (license number 4704301664) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902419104.

Contact Information

Jacob Jewell, FNP-C
20952 E 12 Mile Rd Ste 200,
Saint Clair Shores, MI 48081-3203
(586) 771-4820
(586) 771-6620

Map and Direction




Provider's Profile

Full NameJacob Jewell
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location20952 E 12 Mile Rd Ste 200, Saint Clair Shores, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Jewell graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1902419104
  • Provider Enumeration Date: 08/26/2020
  • Last Update Date: 09/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406276310
  • Enrollment ID: I20201014003866

Medical Identifiers

Medical identifiers for Jacob Jewell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902419104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704301664 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Complexcare Medical Group Midwest H Pllc0143737148128
Theoria Medical5395098339317

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Jewell allows following entities to bill medicare on his behalf.
Entity NameJawad a Shah MD PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942402391
PECOS PAC ID: 5799779633
Enrollment ID: O20040413000798
Entity NameMichigan Institute of Urology PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194807693
PECOS PAC ID: 1052223492
Enrollment ID: O20050329001170
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20181004002127
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20210405000855
Entity NameComplexcare Medical Group Midwest H PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457144933
PECOS PAC ID: 0143737148
Enrollment ID: O20250815000157

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Jewell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Jewell, FNP-C
20952 E 12 Mile Rd Ste 200,
Saint Clair Shores, MI 48081-3203

Ph: (586) 771-4820		Jacob Jewell, FNP-C
20952 E 12 Mile Rd Ste 200,
Saint Clair Shores, MI 48081-3203

Ph: (586) 771-4820

Reviews and Comments


Nurse Practitioner Nurses in Saint Clair Shores, MI

Naomi Catherine Amey,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25631 Little Mack Ave Ste 205, Saint Clair Shores, MI 48081
Phone: 586-443-2930    
Carrie L Anderson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081
Phone: 586-771-4820    Fax: 586-771-6620
Jennifer Kulinski, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080
Phone: 586-945-5088    
Mrs. Ayesha Massey Bennett, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081
Phone: 586-884-5656    
Meghan Martinovski, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081
Phone: 586-884-5656    
Natalie Buch,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 23100 Jefferson Ave, Saint Clair Shores, MI 48080
Phone: 248-343-2825    
Mr. Ronald August Bonaventura Jr.,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080
Phone: 586-557-8398    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.