JENNIFER M GIDEON FNP
NPI 1104272160
Nurse Practitioner - Family in Troy, MI

Q: What is Jennifer Gideon's NPI number?

The NPI number for Jennifer Gideon is 1104272160. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Q: What is Jennifer Gideon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gideon was last updated on June 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2016PECOS Enrolled

1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083(313) 745-4525(313) 745-0011 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2016, May 9, 2016 (2 updates tracked since 2016).

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About Jennifer M Gideon Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER M GIDEON FNP (NPI 1104272160) is an individual family provider in Troy, Michigan, licensed in Michigan (4704139802) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104272160

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER M GIDEONCredential: FNP

Location Address1560 E MAPLE RD, SUITE 400 - CREDENTIALINGTroy, MI 48083-1138

Mailing Address4160 John R St, Ste 917Detroit, MI 48201-2020 · (313) 745-4525 · Fax (313) 745-0011

Phone(313) 745-4525

Fax(313) 745-0011

Sole ProprietorNo

Enumeration DateMay 9, 2016

Last NPPES UpdateJune 28, 20162 updates tracked since enumeration

✔ NPI 1104272160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704139802

1560 E MAPLE RD, Troy, MI 48083

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Gideon Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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